CROSS-REFERENCE TO RELATED APPLICATION
BACKGROUND OF THE INVENTION
[0001] Cancer is the second leading cause of death in the United States, exceeded only by
heart disease. (
Cancer Facts and Figures 2004, American Cancer Society, Inc.) Despite recent advances in cancer diagnosis and treatment, surgery and radiotherapy
may be curative if a cancer is found early, but current drug therapies for metastatic
disease are mostly palliative and seldom offer a long-term cure. Even with new chemotherapies
entering the market, the need continues for new drugs effective in monotherapy or
in combination with existing agents as first line therapy, and as second and third
line therapies in treatment of resistant tumors.
[0002] Cancer cells are by definition heterogeneous. For example, within a single tissue
or cell type, multiple mutational 'mechanisms' may lead to the development of cancer.
As such, heterogeneity frequently exists between cancer cells taken from tumors of
the same tissue and same type that have originated in different individuals. Frequently
observed mutational 'mechanisms' associated with some cancers may differ between one
tissue type and another (
e.g., frequently observed mutational 'mechanisms' leading to colon cancer may differ
from frequently observed 'mechanisms' leading to leukemias). It is therefore often
difficult to predict whether a particular cancer will respond to a particular chemotherapeutic
agent. (
Cancer Medicine, 5th Edition, Bast et al. eds., B.C. Decker Inc., Hamilton, Ontario)
[0003] Components of cellular signal transduction pathways that regulate the growth and
differentiation of normal cells can, when dysregulated, lead to the development of
cellular proliferative disorders and cancer. Mutations in cellular signaling proteins
may cause such proteins to become expressed or activated at inappropriate levels or
at inappropriate times during the cell cycle, which in turn may lead to uncontrolled
cellular growth or changes in cell-cell attachment properties. For example, dysregulation
of receptor tyrosine kinases by mutation, gene rearrangement, gene amplification,
and overexpression of both receptor and ligand has been implicated in the development
and progression of human cancers.
[0004] The c-Met receptor tyrosine kinase is the only known high-affinity receptor for hepatocyte
growth factor (HGF), also known as scatter factor. Binding of HGF to the c-Met extracellular
ligand-binding domain results in receptor multimerization and phosphorylation of multiple
tyrosine residues in the intracellular portion of c-Met. Activation of c-Met results
in the binding and phosphorylation of adaptor proteins such as Gab-1, Grb-2, Shc,
and c-Cbl, and subsequent activation of signal transducers such as PI3K, PLC-γ, STATs,
ERK1 and 2 and FAK. c-Met and HGF are expressed in numerous tissues, and their expression
is normally confined predominantly to cells of epithelial and mesenchymal origin,
respectively. c-Met and HGF are dysregulated in human cancers and may contribute to
dysregulation of cell growth, tumor cell dissemination, and tumor invasion during
disease progression and metastasis (See, e.g.,
Journal of Clinical Investigation 109: 863-867 (2002) and
Cancer Cell pp 5-6 July 2004). c-Met and HGF are highly expressed relative to surrounding tissue in numerous cancers,
and their expression correlates with poor prognosis and lack of response to standard
clinical treatments. (See, e.g.,
Journal of Cellular Biochemistry 86: 665-677 (2002);
Int. J. Cancer (Pred. Oncol.) 74: 301-309 (1997);
Clinical Cancer Research 9: 1480-1488 (2003); and
Cancer Research 62: 589-596 (2002)). Without intending to be bound by theory, c-Met and HGF may protect tumors against
cell death induced by DNA-damaging agents and, as such, may contribute to chemoresistance
and radioresistance of tumors. Without intending to be limited by any theory, inhibitors
of c-Met may be useful as therapeutic agents in the treatment of proliferative disorders
including breast cancer. (See, e.g.,
Cancer and Metastasis Reviews 22: 309-325 (2003)). Accordingly, new compounds and methods for modulating these factors and treating
cancer are needed. The present invention addresses these needs.
SUMMARY OF THE INVENTION
[0005] The present invention provides, in part, compounds of formula Ia, Ib, Ic or Id:

or a pharmaceutically acceptable salt or ester thereof, wherein:
R1 and R2 are independently hydrogen or -OR3;
R3 is independently hydrogen or glucuronide;
X1, X2 and X3 are selected from the group consisting of -CH2-, -CH(OH)-, and -C(O)-, wherein only one of X1, X2 or X3 can be different from -CH2-, and X1, X2 and X3 are not all-CH2-.
[0006] The present invention also provides a pharmaceutical composition comprising one or
more compounds of formula Ia, Ib, Ic or Id and one or more pharmaceutically acceptable
carriers.
[0007] The present invention also provides a compound of formula Ia, Ib, Ic or Id, or a
pharmaceutically acceptable salt, solvate, hydrate, ester, carbamate, N-acyl derivative,
N-Mannich base, Schiff base, enaminone, oxime, acetal, ketal, or enol ester thereof,
for use in a method of treating a cell proliferative disorder wherein the compound
is for administration to a subject in need thereof, in a therapeutically effective
amount in combination with a pharmaceutically acceptable carrier, such that the disorder
is treated.
[0008] The present invention also provides a compound of formula Ia, Ib, Ic or Id, or a
pharmaceutically acceptable salt, solvate, hydrate, ester, carbamate, N-acyl derivative,
N-Mannich base, Schiff base, enaminone, oxime, acetal, ketal, or enol ester thereof,
for use in a method of treating a cell proliferative disorder wherein the compound
is for administration to a subject in need thereof, for use in a method of treating
cancer, wherein the compound is for administration to a subject in need thereof, in
a therapeutically effective amount.
[0009] Unless otherwise defined, all technical and scientific terms used herein have the
same meaning as commonly understood by one of ordinary skill in the art to which this
invention belongs. In the specification, the singular forms also include the plural
unless the context clearly dictates otherwise. Although methods and materials similar
or equivalent to those described herein can be used in the practice or testing of
the present invention, suitable methods and materials are described below. The references
cited herein are not admitted to be prior art to the claimed invention. In the case
of conflict, the present specification, including definitions, will control. In addition,
the materials, methods, and examples are illustrative only and are not intended to
be limiting.
[0010] Other features and advantages of the invention will be apparent from the following
detailed description and claims.
BRIEF DESCRIPTION OF THE DRAWINGS
[0011]
Figure 1: HPLC of isolated enantiomers of the compounds of present application. (A)
first enantiomer (Compound 10), (B) second enantiomer (Compound 11), (C) third enantiomer
(Compound 12), and (D) fourth enantiomer (Compound 13).
Figure 2: HPLC of isolated enantiomers of the compounds of present application. (A)
first enantiomer (Compound 14) and (B) second enantiomer (Compound 15).
Figure 3: HPLC of isolated enantiomers of the compounds of present application. (A)
first enantiomer (Compound 16) and (B) second enantiomer (Compound 17).
DETAILED DESCRIPTION OF THE INVENTION
[0012] The present invention provides novel pyrroloquinolinyl-pyrrolidine-2,5-dione compounds,
synthetic methods for making the compounds, pharmaceutical compositions containing
them and various uses of the compounds.
1. Pyrroloquinolinyl-pyrrolidine-2,5-dione Compounds
[0013] The present invention provides, in part, compounds of formula Ia, Ib, Ic or Id and
methods of preparing the compounds of formula Ia, Ib, Ic or Id:

or a pharmaceutically acceptable salt or ester thereof, wherein:
R1 and R2 are independently hydrogen or -OR3;
R3 is independently hydrogen or glucuronide;
X1, X2 and X3 are selected from the group consisting of -CH2-, -CH(OH)-, and -C(O)-, wherein only one of X1, X2 or X3 can be different from -CH2-, and X1, X2 and X3 are not all -CH2-.
[0014] Forms of the compounds of the invention are contemplated, either in admixture or
in pure or substantially pure form, including crystalline forms of racemic mixtures
and crystalline forms of individual isomers. The invention very particularly embraces
isolated optical isomers having a specified activity. The racemic forms can be resolved
by physical methods, such as, for example, separation or crystallization of diastereomeric
derivatives, separation by chiral column chromatography or supercritical fluid chromatography.
The individual optical isomers can be obtained from the racemates by conventional
methods, such as, for example, salt formation with an optically active acid or base
followed by crystallization.
[0015] Certain compounds of this invention may exist in tautomeric forms. All such tautomeric
forms of the compounds are considered to be within the scope of this invention unless
otherwise stated.
[0016] In addition, a crystal polymorphism may be present but is not limiting, but any crystal
form may be single or a crystal form mixture, or an anhydrous or hydrated crystal
form.
[0017] The terms "crystal polymorphs" or "polymorphs" or "crystal forms" means crystal structures
in which a compound (or salt or solvate thereof) can crystallize in different crystal
packing arrangements, all of which have the same elemental composition. Different
crystal forms usually have different X-ray diffraction patterns, infrared spectra,
melting points, density, crystal shape, optical and electrical properties, stability
and solubility. Crystallization solvent, rate of crystallization, storage temperature,
and other factors may cause one crystal form to dominate. Crystal polymorphs of the
compounds can be prepared by crystallization under different conditions.
[0018] Additionally, the compounds of the present invention, for example, the salts of the
compounds, can exist in either hydrated or unhydrated (the anhydrous) form or as solvates
with other solvent molecules. Nonlimiting examples of hydrates include monohydrates,
dihydrates, etc. Nonlimiting examples of solvates include ethanol solvates, acetone
solvates, etc.
[0019] As used herein, "alkyl", "C
1, C
2, C
3, C
4, C
5 or C
6 alkyl" or "C
1-C
6 alkyl" is intended to include C
1, C
2, C
3, C
4, C
5 or C
6 straight chain (linear) saturated aliphatic hydrocarbon groups and C
3, C
4, C
5 or C
6 branched saturated aliphatic hydrocarbon groups. For example, C
1-C
6 alkyl is intended to include C
1, C
2, C
3, C
4, C
5 and C
6 alkyl groups. Examples of alkyl include, moieties having from one to six carbon atoms,
such as, but not limited to, methyl, ethyl, n-propyl, i-propyl, n-butyl, s-butyl,
t-butyl, n-pentyl, s-pentyl or n-hexyl.
[0020] In certain embodiments, a straight chain or branched alkyl has six or fewer carbon
atoms (
e.g., C
1-C
6 for straight chain, C
3-C
6 for branched chain), and in another embodiment, a straight chain or branched alkyl
has four or fewer carbon atoms.
[0021] "Heteroalkyl" groups are alkyl groups, as defined above, that have an oxygen, nitrogen,
sulfur or phosphorous atom replacing one or more hydrocarbon backbone carbon atoms.
[0022] As used herein, the term "cycloalkyl", "C
3, C
4, C
5, C
6, C
7 or C
8 cycloalkyl" or "C
3-C
8 cycloalkyl" is intended to include hydrocarbon rings having from three to eight carbon
atoms in their ring structure. In one embodiment, a cycloalkyl group has five or six
carbons in the ring structure.
[0023] The term "substituted alkyl" refers to alkyl moieties having substituents replacing
one or more hydrogen atoms on one or more carbons of the hydrocarbon backbone. Such
substituents can include, for example, alkyl, alkenyl, alkynyl, halogen, hydroxyl,
alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate,
alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl,
alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, amino (including
alkylamino, dialkylamino, arylamino, diarylamino and alkylarylamino), acylamino (including
alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl,
alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl,
sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an
aromatic or heteroaromatic moiety. Cycloalkyls can be further substituted,
e.g., with the substituents described above. An "alkylaryl" or an "aralkyl" moiety is an
alkyl substituted with an aryl (
e.g., phenylmethyl (benzyl)).
[0024] Unless the number of carbons is otherwise specified, "lower alkyl" includes an alkyl
group, as defined above, having from one to six, or in another embodiment from one
to four, carbon atoms in its backbone structure. "Lower alkenyl" and "lower alkynyl"
have chain lengths of, for example, two to six or of two to four carbon atoms.
[0025] "Alkenyl" includes unsaturated aliphatic groups analogous in length and possible
substitution to the alkyls described above, but that contain at least one double bond.
For example, the term "alkenyl" includes straight chain alkenyl groups
(e.g., ethenyl, propenyl, butenyl, pentenyl, hexenyl, heptenyl, octenyl, nonenyl, decenyl),
branched alkenyl groups, cycloalkenyl
(e.g., alicyclic) groups
(e.g., cyclopropenyl, cyclopentenyl, cyclohexenyl, cycloheptenyl, cyclooctenyl), alkyl or
alkenyl substituted cycloalkenyl groups, and cycloalkyl or cycloalkenyl substituted
alkenyl groups. In certain embodiments, a straight chain or branched alkenyl group
has six or fewer carbon atoms in its backbone (
e.g., C
2-C
6 for straight chain, C
3-C
6 for branched chain). Likewise, cycloalkenyl groups may have from five to eight carbon
atoms in their ring structure, and in one embodiment, cycloalkenyl groups have five
or six carbons in the ring structure. The term "C
2-C
6" includes alkenyl groups containing two to six carbon atoms. The term "C
3-C
6" includes alkenyl groups containing three to six carbon atoms.
[0026] "Heteroalkenyl" includes alkenyl groups, as defined herein, having an oxygen, nitrogen,
sulfur or phosphorous atom replacing one or more hydrocarbon backbone carbons.
[0027] The term "substituted alkenyl" refers to alkenyl moieties having substituents replacing
one or more hydrogen atoms on one or more hydrocarbon backbone carbon atoms. Such
substituents can include, for example, alkyl, alkenyl, alkynyl, halogen, hydroxyl,
alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate,
alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl,
alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, amino (including
alkylamino, dialkylamino, arylamino, diarylamino and alkylarylamino), acylamino (including
alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl,
alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl,
sulfonamido, nitro, trifluoromethyl, cyano, heterocyclyl, alkylaryl, or an aromatic
or heteroaromatic moiety.
[0028] "Alkynyl" includes unsaturated aliphatic groups analogous in length and possible
substitution to the alkyls described above, but which contain at least one triple
bond. For example, "alkynyl" includes straight chain alkynyl groups (
e.g., ethynyl, propynyl, butynyl, pentynyl, hexynyl, heptynyl, octynyl, nonynyl, decynyl),
branched alkynyl groups, and cycloalkyl or cycloalkenyl substituted alkynyl groups.
In certain embodiments, a straight chain or branched alkynyl group has six or fewer
carbon atoms in its backbone (
e.g., C
2-C
6 for straight chain, C
3-C
6 for branched chain). The term "C
2-C
6" includes alkynyl groups containing two to six carbon atoms. The term "C
3-C
6" includes alkynyl groups containing three to six carbon atoms.
[0029] "Heteroalkynyl" includes alkynyl groups, as defined herein, having an oxygen, nitrogen,
sulfur or phosphorous atom replacing one or more hydrocarbon backbone carbons.
[0030] The term "substituted alkynyl" refers to alkynyl moieties having substituents replacing
one or more hydrogen atoms on one or more hydrocarbon backbone carbon atoms. Such
substituents can include, for example, alkyl, alkenyl, alkynyl, halogen, hydroxyl,
alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate,
alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl,
alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, amino (including
alkylamino, dialkylamino, arylamino, diarylamino and alkylarylamino), acylamino (including
alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl,
alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl,
sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an
aromatic or heteroaromatic moiety.
[0031] "Aryl" includes groups with aromaticity, including "conjugated", or multicyclic,
systems with at least one aromatic ring. Examples include phenyl, benzyl, etc.
[0032] "Heteroaryl" groups are aryl groups, as defined above, having from one to four heteroatoms
in the ring structure, and may also be referred to as "aryl heterocycles" or "heteroaromatics".
As used herein, the term "heteroaryl" is intended to include a stable 5-, 6-, or 7-membered
monocyclic or 7-, 8-, 9-, 10-, 11- or 12-membered bicyclic aromatic heterocyclic ring
which consists of carbon atoms and one or more heteroatoms,
e.g., 1 or 1-2 or 1-3 or 1-4 or 1-5 or 1-6 heteroatoms, or
e.g., 1, 2, 3, 4, 5, or 6 heteroatoms, independently selected from the group consisting
of nitrogen, oxygen and sulfur. The nitrogen atom may be substituted or unsubstituted
(i.e., N or NR wherein R is H or other substituents, as defined). The nitrogen and sulfur
heteroatoms may optionally be oxidized (
i.e., N→O and S(O)
p, where p = 1 or 2). It is to be noted that total number of S and O atoms in the aromatic
heterocycle is not more than 1.
[0033] Examples of heteroaryl groups include pyrrole, furan, thiophene, thiazole, isothiazole,
imidazole, triazole, tetrazole, pyrazole, oxazole, isoxazole, pyridine, pyrazine,
pyridazine, pyrimidine, and the like.
[0034] Furthermore, the terms "aryl" and "heteroaryl" include multicyclic aryl and heteroaryl
groups,
e.g., tricyclic, bicyclic,
e.g., naphthalene, benzoxazole, benzodioxazole, benzothiazole, benzoimidazole, benzothiophene,
methylenedioxyphenyl, quinoline, isoquinoline, naphthrydine, indole, benzofuran, purine,
benzofuran, deazapurine, indolizine.
[0035] In the case of multicyclic aromatic rings, only one of the rings needs to be aromatic
(e.g., 2,3-dihydroindole), although all of the rings may be aromatic
(e.g., quinoline). The second ring can also be fused or bridged.
[0036] The aryl or heteroaryl aromatic ring can be substituted at one or more ring positions
with such substituents as described above, for example, alkyl, alkenyl, akynyl, halogen,
hydroxyl, alkoxy, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy,
carboxylate, alkylcarbonyl, alkylaminocarbonyl, aralkylaminocarbonyl, alkenylaminocarbonyl,
alkylcarbonyl, arylcarbonyl, aralkylcarbonyl, alkenylcarbonyl, alkoxycarbonyl, aminocarbonyl,
alkylthiocarbonyl, phosphate, phosphonato, phosphinato, amino (including alkylamino,
dialkylamino, arylamino, diarylamino and alkylarylamino), acylamino (including alkylcarbonylamino,
arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio,
thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamido, nitro,
trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic
moiety. Aryl groups can also be fused or bridged with alicyclic or heterocyclic rings,
which are not aromatic so as to form a multicyclic system
(e.g., tetralin, methylenedioxyphenyl).
[0037] As used herein, "carbocycle" or "carbocyclic ring" is intended to include any stable
monocyclic, bicyclic or tricyclic ring having the specified number of carbons, any
of which may be saturated, unsaturated, or aromatic. For example, a C
3-C
14 carbocycle is intended to include a monocyclic, bicyclic or tricyclic ring having
3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13 or 14 carbon atoms. Examples of carbocycles include,
but are not limited to, cyclopropyl, cyclobutyl, cyclobutenyl, cyclopentyl, cyclopentenyl,
cyclohexyl, cycloheptenyl, cycloheptyl, cycloheptenyl, adamantyl, cyclooctyl, cyclooctenyl,
cyclooctadienyl, fluorenyl, phenyl, naphthyl, indanyl, adamantyl and tetrahydronaphthyl.
Bridged rings are also included in the definition of carbocycle, including, for example,
[3.3.0]bicyclooctane, [4.3.0]bicyclononane, [4.4.0]bicyclodecane and [2.2.2]bicyclooctane.
A bridged ring occurs when one or more carbon atoms link two non-adjacent carbon atoms.
In one embodiment, bridge rings are one or two carbon atoms. It is noted that a bridge
always converts a monocyclic ring into a tricyclic ring. When a ring is bridged, the
substituents recited for the ring may also be present on the bridge. Fused (
e.g., naphthyl, tetrahydronaphthyl) and spiro rings are also included.
[0038] As used herein, "heterocycle" includes any ring structure (saturated or partially
unsaturated) which contains at least one ring heteroatom
(e.g., N, O or S). Examples of heterocycles include, but are not limited to, morpholine,
pyrrolidine, tetrahydrothiophene, piperidine, piperazine and tetrahydrofuran.
[0039] Examples of heterocyclic groups include, but are not limited to, acridinyl, azocinyl,
benzimidazolyl, benzofuranyl, benzothiofuranyl, benzothiophenyl, benzoxazolyl, benzoxazolinyl,
benzthiazolyl, benztriazolyl, benztetrazolyl, benzisoxazolyl, benzisothiazolyl, benzimidazolinyl,
carbazolyl, 4a
H-carbazolyl, carbolinyl, chromanyl, chromenyl, cinnolinyl, decahydroquinolinyl, 2
H,6
H-1,5,2-dithiazinyl, dihydrofuro[2,3-
b]tetrahydrofuran, furanyl, furazanyl, imidazolidinyl, imidazolinyl, imidazolyl, 1
H-indazolyl, indolenyl, indolinyl, indolizinyl, indolyl, 3H-indolyl, isatinoyl, isobenzofuranyl,
isochromanyl, isoindazolyl, isoindolinyl, isoindolyl, isoquinolinyl, isothiazolyl,
isoxazolyl, methylenedioxyphenyl, morpholinyl, naphthyridinyl, octahydroisoquinolinyl,
oxadiazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl,
1,2,4-oxadiazol5(4H)-one, oxazolidinyl, oxazolyl, oxindolyl, pyrimidinyl, phenanthridinyl,
phenanthrolinyl, phenazinyl, phenothiazinyl, phenoxathinyl, phenoxazinyl, phthalazinyl,
piperazinyl, piperidinyl, piperidonyl, 4-piperidonyl, piperonyl, pteridinyl, purinyl,
pyranyl, pyrazinyl, pyrazolidinyl, pyrazolinyl, pyrazolyl, pyridazinyl, pyridooxazole,
pyridoimidazole, pyridothiazole, pyridinyl, pyridyl, pyrimidinyl, pyrrolidinyl, pyrrolinyl,
2H-pyrrolyl, pyrrolyl, quinazolinyl, quinolinyl, 4
H-quinolizinyl, quinoxalinyl, quinuclidinyl, tetrahydrofuranyl, tetrahydroisoquinolinyl,
tetrahydroquinolinyl, tetrazolyl, 6H-1,2,5-thiadiazinyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl,
1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, thianthrenyl, thiazolyl, thienyl, thienothiazolyl,
thienooxazolyl, thienoimidazolyl, thiophenyl, triazinyl, 1,2,3-triazolyl, 1,2,4-triazolyl,
1,2,5-triazolyl, 1,3,4-triazolyl and xanthenyl.
[0040] The term "substituted", as used herein, means that any one or more hydrogen atoms
on the designated atom is replaced with a selection from the indicated groups, provided
that the designated atom's normal valency is not exceeded, and that the substitution
results in a stable compound. When a substituent is keto (
i.e., =O), then 2 hydrogen atoms on the atom are replaced. Keto substituents are not present
on aromatic moieties. Ring double bonds, as used herein, are double bonds that are
formed between two adjacent ring atoms
(e.g., C=C, C=N or N=N). "Stable compound" and "stable structure" are meant to indicate
a compound that is sufficiently robust to survive isolation to a useful degree of
purity from a reaction mixture, and formulation into an efficacious therapeutic agent.
[0041] When a bond to a substituent is shown to cross a bond connecting two atoms in a ring,
then such substituent may be bonded to any atom in the ring. When a substituent is
listed without indicating the atom via which such substituent is bonded to the rest
of the compound of a given formula, then such substituent may be bonded via any atom
in such formula. Combinations of substituents and/or variables are permissible, but
only if such combinations result in stable compounds.
[0042] When any variable (
e.g., R
1) occurs more than one time in any constituent or formula for a compound, its definition
at each occurrence is independent of its definition at every other occurrence. Thus,
for example, if a group is shown to be substituted with 0-2 R
1 moieties, then the group may optionally be substituted with up to two R
1 moieties and R
1 at each occurrence is selected independently from the definition of R
1. Also, combinations of substituents and/or variables are permissible, but only if
such combinations result in stable compounds.
[0043] The term "hydroxy" or "hydroxyl" includes groups with an -OH or -O
-.
[0044] As used herein, "halo" or "halogen" refers to fluoro, chloro, bromo and iodo. The
term "perhalogenated" generally refers to a moiety wherein all hydrogen atoms are
replaced by halogen atoms.
[0045] The term "carbonyl" or "carboxy" includes compounds and moieties which contain a
carbon connected with a double bond to an oxygen atom. Examples of moieties containing
a carbonyl include, but are not limited to, aldehydes, ketones, carboxylic acids,
amides, esters, anhydrides, etc.
[0046] "Acyl" includes moieties that contain the acyl radical (-C(O)-) or a carbonyl group.
"Substituted acyl" includes acyl groups where one or more of the hydrogen atoms are
replaced by, for example, alkyl groups, alkynyl groups, halogen, hydroxyl, alkylcarbonyloxy,
arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl,
arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl,
alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, amino (including
alkylamino, dialkylamino, arylamino, diarylamino and alkylarylamino), acylamino (including
alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl,
alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl,
sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an
aromatic or heteroaromatic moiety.
[0047] "Aroyl" includes moieties with an aryl or heteroaromatic moiety bound to a carbonyl
group. Examples of aroyl groups include phenylcarboxy, naphthyl carboxy, etc.
[0048] "Alkoxyalkyl", "alkylaminoalkyl" and "thioalkoxyalkyl" include alkyl groups, as described
above, wherein oxygen, nitrogen or sulfur atoms replace one or more hydrocarbon backbone
carbon atoms.
[0049] The term "alkoxy" or "alkoxyl" includes substituted and unsubstituted alkyl, alkenyl
and alkynyl groups covalently linked to an oxygen atom. Examples of alkoxy groups
or alkoxyl radicals include, but are not limited to, methoxy, ethoxy, isopropyloxy,
propoxy, butoxy and pentoxy groups. Examples of substituted alkoxy groups include
halogenated alkoxy groups. The alkoxy groups can be substituted with groups such as
alkenyl, alkynyl, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy,
aryloxycarbonyloxy, carboxylate, alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl,
alkylaminocarbonyl, dialkylaminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato,
phosphinato, amino (including alkylamino, dialkylamino, arylamino, diarylamino, and
alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl
and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates,
alkylsulfinyl, sulfonato, sulfamoyl, sulfonamido, nitro, trifluoromethyl, cyano, azido,
heterocyclyl, alkylaryl, or an aromatic or heteroaromatic moieties. Examples of halogen
substituted alkoxy groups include, but are not limited to, fluoromethoxy, difluoromethoxy,
trifluoromethoxy, chloromethoxy, dichloromethoxy and trichloromethoxy.
[0050] The term "ether" or "alkoxy" includes compounds or moieties which contain an oxygen
bonded to two carbon atoms or heteroatoms. For example, the term includes "alkoxyalkyl",
which refers to an alkyl, alkenyl, or alkynyl group covalently bonded to an oxygen
atom which is covalently bonded to an alkyl group.
[0051] The term "ester" includes compounds or moieties which contain a carbon or a heteroatom
bound to an oxygen atom which is bonded to the carbon of a carbonyl group. The term
"ester" includes alkoxycarboxy groups such as methoxycarbonyl, ethoxycarbonyl, propoxycarbonyl,
butoxycarbonyl, pentoxycarbonyl, etc.
[0052] The term "thioalkyl" includes compounds or moieties which contain an alkyl group
connected with a sulfur atom. The thioalkyl groups can be substituted with groups
such as alkyl, alkenyl, alkynyl, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy,
alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, carboxyacid, alkylcarbonyl, arylcarbonyl,
alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl, alkylthiocarbonyl,
alkoxyl, amino (including alkylamino, dialkylamino, arylamino, diarylamino and alkylarylamino),
acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido),
amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl,
sulfonato, sulfamoyl, sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclyl,
alkylaryl, or an aromatic or heteroaromatic moieties.
[0053] The term "thiocarbonyl" or "thiocarboxy" includes compounds and moieties which contain
a carbon connected with a double bond to a sulfur atom.
[0054] The term "thioether" includes moieties which contain a sulfur atom bonded to two
carbon atoms or heteroatoms. Examples of thioethers include, but are not limited to
alkthioalkyls, alkthioalkenyls and alkthioalkynyls. The term "alkthioalkyls" include
moieties with an alkyl, alkenyl or alkynyl group bonded to a sulfur atom which is
bonded to an alkyl group. Similarly, the term "alkthioalkenyls" refers to moieties
wherein an alkyl, alkenyl or alkynyl group is bonded to a sulfur atom which is covalently
bonded to an alkenyl group; and alkthioalkynyls" refers to moieties wherein an alkyl,
alkenyl or alkynyl group is bonded to a sulfur atom which is covalently bonded to
an alkynyl group.
[0055] As used herein, "amine" or "amino" includes moieties where a nitrogen atom is covalently
bonded to at least one carbon or heteroatom. "Alkylamino" includes groups of compounds
wherein nitrogen is bound to at least one alkyl group. Examples of alkylamino groups
include benzylamino, methylamino, ethylamino, phenethylamino, etc. "Dialkylamino"
includes groups wherein the nitrogen atom is bound to at least two additional alkyl
groups. Examples of dialkylamino groups include, but are not limited to, dimethylamino
and diethylamino. "Arylamino" and "diarylamino" include groups wherein the nitrogen
is bound to at least one or two aryl groups, respectively. "Alkylarylamino", "alkylaminoaryl"
or "arylaminoalkyl" refers to an amino group which is bound to at least one alkyl
group and at least one aryl group. "Alkaminoalkyl" refers to an alkyl, alkenyl, or
alkynyl group bound to a nitrogen atom which is also bound to an alkyl group. "Acylamino"
includes groups wherein nitrogen is bound to an acyl group. Examples of acylamino
include, but are not limited to, alkylcarbonylamino, arylcarbonylamino, carbamoyl
and ureido groups.
[0056] The term "amide" or "aminocarboxy" includes compounds or moieties that contain a
nitrogen atom that is bound to the carbon of a carbonyl or a thiocarbonyl group. The
term includes "alkaminocarboxy" groups that include alkyl, alkenyl or alkynyl groups
bound to an amino group which is bound to the carbon of a carbonyl or thiocarbonyl
group. It also includes "arylaminocarboxy" groups that include aryl or heteroaryl
moieties bound to an amino group that is bound to the carbon of a carbonyl or thiocarbonyl
group. The terms "alkylaminocarboxy", "alkenylaminocarboxy", "alkynylaminocarboxy"
and "arylaminocarboxy" include moieties wherein alkyl, alkenyl, alkynyl and aryl moieties,
respectively, are bound to a nitrogen atom which is in turn bound to the carbon of
a carbonyl group. Amides can be substituted with substituents such as straight chain
alkyl, branched alkyl, cycloalkyl, aryl, heteroaryl or heterocycle. Substituents on
amide groups may be further substituted.
[0057] As used herein, "alkyl linker" is intended to include C
1, C
2, C
3, C
4, C
5 or C
6 straight chain (linear) saturated aliphatic hydrocarbon groups and C
3, C
4, C
5 or C
6 branched saturated aliphatic hydrocarbon groups. For example, C
1-C
6 alkyl linker is intended to include C
1, C
2, C
3, C
4, C
5 and C
6 alkyl linker groups. Examples of alkyl linker include, moieties having from one to
six carbon atoms, such as, but not limited to, methyl (-CH
2-), ethyl (-CH
2CH
2-), n-propyl (-CH
2CH
2CH
2-), i-propyl (-CHCH
3CH
2-), n-butyl (-CH
2CH
2CH
2CH
2-), s-butyl (-CHCH
3CH
2CH
2-), i-butyl (-C(CH
3)
2CH
2-), n-pentyl (-CH
2CH
2CH
2CH
2CH
2-), s-pentyl (-CHCH
3CH
2CH
2CH
2-) or n-hexyl (-CH
2CH
2CH
2CH
2CH
2CH
2-).
[0058] Compounds of the present invention that contain nitrogens can be converted to N-oxides
by treatment with an oxidizing agent (
e.g., 3-chloroperoxybenzoic acid (
m-CPBA) and/or hydrogen peroxides) to afford other compounds of the present invention.
Thus, all shown and claimed nitrogen-containing compounds are considered, when allowed
by valency and structure, to include both the compound as shown and its N-oxide derivative
(which can be designated as N→O or N
+-O
-). Furthermore, in other instances, the nitrogens in the compounds of the present
invention can be converted to N-hydroxy or N-alkoxy compounds. For example, N-hydroxy
compounds can be prepared by oxidation of the parent amine by an oxidizing agent such
as
m-CPBA. All shown and claimed nitrogen-containing compounds are also considered, when
allowed by valency and structure, to cover both the compound as shown and its N-hydroxy
(
i.e., N-OH) and N-alkoxy (
i.e., N-OR, wherein R is substituted or unsubstituted C
1-C
6 alkyl, C
1-C
6 alkenyl, C
1-C
6 alkynyl, 3-14-membered carbocycle or 3-14-membered heterocycle) derivatives.
[0059] In the present specification, the structural formula of the compound represents a
certain isomer for convenience in some cases, but the present invention includes all
geometrical isomers, optical isomers based on an asymmetrical carbon, stereoisomers,
tautomers, and the like. In addition, a crystal polymorphism may be present for the
compounds represented by the formula. It is noted that any crystal form, crystal form
mixture, or anhydride or hydrate thereof is included in the scope of the present invention.
A so-called metabolite is produced by degradation of the present compound
in vivo.
[0060] "Isomerism" means compounds that have identical molecular formulae but differ in
the sequence of bonding of their atoms or in the arrangement of their atoms in space.
Isomers that differ in the arrangement of their atoms in space are termed "stereoisomers".
Stereoisomers that are not mirror images of one another are termed "diastereoisomers",
and stereoisomers that are non-superimposable mirror images of each other are termed
"enantiomers" or sometimes optical isomers. A mixture containing equal amounts of
individual enantiomeric forms of opposite chirality is termed a "racemic mixture".
[0061] A carbon atom bonded to four non-identical substituents is termed a "chiral center".
[0062] "Chiral isomer" means a compound with at least one chiral center. Compounds with
more than one chiral center may exist either as an individual diastereomer or as a
mixture of diastereomers, termed "diastereomeric mixture". When one chiral center
is present, a stereoisomer may be characterized by the absolute configuration (R or
S) of that chiral center. Absolute configuration refers to the arrangement in space
of the substituents attached to the chiral center. The substituents attached to the
chiral center under consideration are ranked in accordance with the
Sequence Rule of Cahn, Ingold and Prelog. (
Cahn et al., Angew. Chem. Inter. Edit. 1966, 5, 385; errata 511;
Cahn et al., Angew. Chem. 1966, 78, 413;
Cahn and Ingold, J. Chem. Soc. 1951 (London), 612;
Cahn et al., Experientia 1956, 12, 81;
Cahn, J. Chem. Educ. 1964, 41, 116).
[0063] "Geometric isomer" means the diastereomers that owe their existence to hindered rotation
about double bonds. These configurations are differentiated in their names by the
prefixes cis and trans, or Z and E, which indicate that the groups are on the same
or opposite side of the double bond in the molecule according to the Cahn-Ingold-Prelog
rules.
[0064] Furthermore, the structures and other compounds discussed in this invention include
all atropic isomers thereof. "Atropic isomers" are a type of stereoisomer in which
the atoms of two isomers are arranged differently in space. Atropic isomers owe their
existence to a restricted rotation caused by hindrance of rotation of large groups
about a central bond. Such atropic isomers typically exist as a mixture, however as
a result of recent advances in chromatography techniques; it has been possible to
separate mixtures of two atropic isomers in select cases.
[0065] "Tautomer" is one of two or more structural isomers that exist in equilibrium and
is readily converted from one isomeric form to another. This conversion results in
the formal migration of a hydrogen atom accompanied by a switch of adjacent conjugated
double bonds. Tautomers exist as a mixture of a tautomeric set in solution. In solid
form, usually one tautomer predominates. In solutions where tautomerization is possible,
a chemical equilibrium of the tautomers will be reached. The exact ratio of the tautomers
depends on several factors, including temperature, solvent and pH. The concept of
tautomers that are interconvertable by tautomerizations is called tautomerism.
[0066] Of the various types of tautomerism that are possible, two are commonly observed.
In keto-enol tautomerism a simultaneous shift of electrons and a hydrogen atom occurs.
Ring-chain tautomerism arises as a result of the aldehyde group (-CHO) in a sugar
chain molecule reacting with one of the hydroxy groups (-OH) in the same molecule
to give it a cyclic (ring-shaped) form as exhibited by glucose.
[0067] Common tautomeric pairs are: ketone-enol, amide-nitrile, lactam-lactim, amide-imidic
acid tautomerism in heterocyclic rings
(e.g., in nucleobases such as guanine, thymine and cytosine), amine-enamine and enamine-enamine.
[0068] It is to be understood that the compounds of the present invention may be depicted
as different tautomers. It should also be understood that when compounds have tautomeric
forms, all tautomeric forms are intended to be included in the scope of the present
invention, and the naming of the compounds does not exclude any tautomer form.
[0069] The term "crystal polymorphs", "polymorphs" or "crystal forms" means crystal structures
in which a compound (or a salt or solvate thereof) can crystallize in different crystal
packing arrangements, all of which have the same elemental composition. Different
crystal forms usually have different X-ray diffraction patterns, infrared spectral,
melting points, density hardness, crystal shape, optical and electrical properties,
stability and solubility. Recrystallization solvent, rate of crystallization, storage
temperature, and other factors may cause one crystal form to dominate. Crystal polymorphs
of the compounds can be prepared by crystallization under different conditions.
[0070] Additionally, the compounds of the present invention, for example, the salts of the
compounds, can exist in either hydrated or unhydrated (the anhydrous) form or as solvates
with other solvent molecules. Non-limiting examples of hydrates include monohydrates,
dihydrates, etc. Non-limiting examples of solvates include ethanol solvates, acetone
solvates, etc.
[0071] "Solvate" means solvent addition forms that contain either stoichiometric or non
stoichiometric amounts of solvent. Some compounds have a tendency to trap a fixed
molar ratio of solvent molecules in the crystalline solid state, thus forming a solvate.
If the solvent is water the solvate formed is a hydrate; and if the solvent is alcohol,
the solvate formed is an alcoholate. Hydrates are formed by the combination of one
or more molecules of water with one molecule of the substance in which the water retains
its molecular state as H
2O.
[0072] As used herein, the term "analog" refers to a chemical compound that is structurally
similar to another but differs slightly in composition (as in the replacement of one
atom by an atom of a different element or in the presence of a particular functional
group, or the replacement of one functional group by another functional group). Thus,
an analog is a compound that is similar or comparable in function and appearance,
but not in structure or origin to the reference compound.
[0073] As defined herein, the term "derivative" refers to compounds that have a common core
structure, and are substituted with various groups as described herein. For example,
all of the compounds represented by formula Ia are substituted pyrroloquinolinyl-pyrrolidine-2,5-dione
compounds, and have formula Ia as a common core.
[0074] The term "bioisostere" refers to a compound resulting from the exchange of an atom
or of a group of atoms with another, broadly similar, atom or group of atoms. The
objective of a bioisosteric replacement is to create a new compound with similar biological
properties to the parent compound. The bioisosteric replacement may be physicochemically
or topologically based. Examples of carboxylic acid bioisosteres include, but are
not limited to, acyl sulfonimides, tetrazoles, sulfonates and phosphonates. See,
e.g., Patani and LaVoie, Chem. Rev. 96, 3147-3176, 1996.
[0075] The present invention is intended to include all isotopes of atoms occurring in the
present compounds. Isotopes include those atoms having the same atomic number but
different mass numbers. By way of general example and without limitation, isotopes
of hydrogen include tritium and deuterium, and isotopes of carbon include C-13 and
C-14.
2. Synthesis of Pyrroloquinolinyl-pyrrolidine-2,5-dione Compounds
[0076] The present disclosure provides methods for the synthesis of the compounds of formula
Ia, Ib, Ic or Id. The present disclosure also provides detailed methods for the synthesis
of various disclosed compounds of the present invention according to the following
schemes and examples.
[0077] Throughout the description, where compositions are described as having, including,
or comprising specific components, it is contemplated that compositions also consist
essentially of, or consist of, the recited components. Similarly, where methods or
processes are described as having, including, or comprising specific process steps,
the processes also consist essentially of, or consist of, the recited processing steps.
Further, it should be understood that the order of steps or order for performing certain
actions is immaterial so long as the invention remains operable. Moreover, two or
more steps or actions can be conducted simultaneously.
[0078] The synthetic processes of the disclosure can tolerate a wide variety of functional
groups; therefore various substituted starting materials can be used. The processes
generally provide the desired final compound at or near the end of the overall process,
although it may be desirable in certain instances to further convert the compound
to a pharmaceutically acceptable salt, ester or prodrug thereof.
[0079] Compounds of the present invention can be prepared in a variety of ways using commercially
available starting materials, compounds known in the literature, or from readily prepared
intermediates, by employing standard synthetic methods and procedures either known
to those skilled in the art, or which will be apparent to the skilled artisan in light
of the teachings herein. Standard synthetic methods and procedures for the preparation
of organic molecules and functional group transformations and,manipulations can be
obtained from the relevant scientific literature or from standard textbooks in the
field. Although not limited to any one or several sources, classic texts such as
Smith, M. B., March, J., March's Advanced Organic Chemistry: Reactions, Mechanisms,
and Structure, 5th edition, John Wiley & Sons: New York, 2001; and
Greene, T.W., Wuts, P.G. M., Protective Groups in Organic Synthesis, 3rd edition,
John Wiley & Sons: New York, 1999, are useful and recognized reference textbooks of organic synthesis known to those
in the art. The following descriptions of synthetic methods are designed to illustrate,
but not to limit, general procedures for the preparation of compounds of the present
invention.
[0080] Compounds of the present invention can be conveniently prepared by a variety of methods
familiar to those skilled in the art. The compounds of this invention with formula
formula Ia, Ib, Ic or Id may be prepared according to the following schemes and examples
from commercially available starting materials or starting materials which can be
prepared using literature procedures. These procedures show the preparation of representative
compounds of this invention. The following compounds shown in Tables 1 can be synthesized
as described below and in detail in the Examples.
[0081] Scheme 1: Commercially available indole acetic acids bearing a protected hydroxy
group such as
V are treated with 1,1'-carbonyldiimidazole in an appropriate solvent such as tetrahydrofuran
then by ammonium hydroxide to give the primary amide
VI. This intermediate is then used in a cyclization reaction with a tricyclic keto ester
VII in the presence of a base such as potassium tert-butoxide in a non-protic solvent
like tetrahydrofuran. The resulting maleimide is then reduced with an agent such as
magnesium metal in a protic solvent such as methanol at a temperature between room
temperature and the solvent boiling point, typically reflux temperature. The reduction
product
IX (racemic) exhibits a relative trans stereochemistry. The protecting group, when R
1 or R
2 are hydroxy groups and protected by such as benzylic groups, is removed using standard
deprotection conditions such as 10% Pd/C in a hydrogen atmosphere to provide
X. The pair of enantiomers can be separated
via reverse phase chiral HPLC

[0082] Scheme 2: Preparation of compounds formed by oxidation of the pyrroloquinoline (for
example when X
1 is CH(OH)).
[0083] A radical initiated benzylic bromination of
VII using N-bromosuccinamide as a source of bromine and azobisisobutyronitrile as a radical
initiator in an appropriate solvent such as carbon tetrachloride at a temperature
between room temperature and the boiling point of the solvent, typically reflux temperature,
gives the bromide
XI. The bromide is converted to an acetate intermediate
XII through a displacement reaction using a reagent such as silver acetate in a polar
aprotic solvent such as dimethylformamide at a temperature between 0 and 100°C, typically
0°C. This intermediate is then used in a similar procedure as described before. Coupling
of the tricyclic keto ester
XII with an appropriately substituted indole-3-acetamide
VI provides the intermediate
XIII. Under the condition used here, the acetate group is removed, liberating the alcohol.
Reduction of the double bond with magnesium metal as described before provides the
racemic intermediate
XIV, with trans relative stereochemistry.

[0084] Scheme 3: The glucuronide conjugate
XVII is synthesized as described in Scheme 3. Activation of tri-O-acetyl-α-D-glucuronic
acid methyl ester trichlororacetimidate with boron trifluoride diethyl etherate and
coupling with
XV gives the acetyl protected glycoside
XVI. Removal of the protective groups under standard conditions such as aqueous sodium
hydroxide in tetrahydrofuran provides the glucuronide
XVII.

[0085] Scheme 4: Preparation of mixture of cyclic amides XXIV by cyclization of esters XXIII
with NaH in solvents such as DMF.
Table 1:
| Cmpd |
Structure |
IUPAC name |
| 1 |

|
(rac)-trans-3-(5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(6-hydroxy-1H-indol-3-yl)pyrrolidine-2,5-dione |
| 2 |

|
(2R,3R,4R,5S)-6-((3-((rac)-trans-4-(5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-2,5-dioxopyrrolidin-3-yl)1H-indol-6-yl)oxy)-3,4,5-trihydroxytetrahydro-2H-pyran-2-carboxylic acid |
| 3 |

|
(rac)-trans-3-(6-hydroxy-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1H-indol-3-yl)pyrrolidine-2,5-dione |
| 4 |

|
(3R,4R)-3-(5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(6-hydroxy-1H-indol-3-yl)pyrrolidine-2,5-dione |
| 5 |

|
(3S,4S)-3-(5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(6-hydroxy-1H-indol-3-yl)pyrrolidine-2,5-dione |
| 6 |

|
(3R,4R)-3-(6-hydroxy-1H-indol-3-yl)-4-(6-hydroxy-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione |
| 7 |

|
(3R,4R)-3-(6-hydroxy-1H-indol-3-yl)-4-(6-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione |
| 8 |

|
(3R,4R)-3-(1H-indol-3-yl)-4-(6-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione |
| 9 |

|
(3R,4R)-3-(1H-indol-3-yl)-4-(4-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione |
| 10 |

|
(3R,4R)-3-((S)-6-hydroxy-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1H-indol-3-yl)pyrrolidine-2,5-dione |
| 11 |

|
(3R,4R)-3-((R)-6-hydroxy-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1H-indol-3-yl)pyrrolidine-2,5-dione |
| 12 |

|
(3S,4S)-3-((R)-6-hydroxy-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1H-indol-3-yl)pyrrolidine-2,5-dione |
| 13 |

|
(3S,4S)-3-((S)-6-hydroxy-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1H-indol-3-yl)pyrrolidine-2,5-dione |
| 14 |

|
(3R,4R)-3-(1H-indol-3-yl)-4-(6-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione |
| 15 |

|
(3S,4S)-3-(1H-indol-3-yl)-4-(6-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione |
| 16 |

|
(3R,4R)-3-(1H-indol-3-yl)-4-(4-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione |
| 17 |

|
(3S,4S)-3-(1H-indol-3-yl)-4-(4-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione |
3. Medical Uses
[0086] The present invention provides a compound of the present invention, or a pharmaceutically
acceptable salt, or solvate thereof for use in a method for the treatment of a cell
proliferative disorder in a subject in need thereof by administering to a subject
in need of such treatment, a therapeutically effective amount of the compound. The
cell proliferative disorder can be cancer or a precancerous condition. The present
disclosure further provides the use of a compound of the present invention, or a pharmaceutically
acceptable salt, or solvate thereof, for the preparation of a medicament useful for
the treatment of a cell proliferative disorder.
[0087] The present disclosure also provides a compound of the present invention, or a pharmaceutically
acceptable salt, or solvate thereof, for use in a method of protecting against a cell
proliferative disorder in a subject in need thereof by administering a therapeutically
effective amount of the compound to a subject in need of such treatment. The cell
proliferative disorder can be cancer or a precancerous condition. The present disclosure
also provides the use of compound of the present invention, or a pharmaceutically
acceptable salt, or solvate thereof, for the preparation of a medicament useful for
the prevention of a cell proliferative disorder.
[0088] As used herein, a "subject in need thereof" is a subject having a cell proliferative
disorder, or a subject having an increased risk of developing a cell proliferative
disorder relative to the population at large. A subject in need thereof can have a
precancerous condition. Preferably, a subject in need thereof has cancer. A "subject"
includes a mammal. The mammal can be
e.g., any mammal,
e.g., a human, primate, bird, mouse, rat, fowl, dog, cat, cow, horse, goat, camel, sheep
or a pig. Preferably, the mammal is a human.
[0089] As used herein, the term "cell proliferative disorder" refers to conditions in which
unregulated or abnormal growth, or both, of cells can lead to the development of an
unwanted condition or disease, which may or may not be cancerous. Exemplary cell proliferative
disorders of the invention encompasses a variety of conditions wherein cell division
is deregulated. Exemplary cell proliferative disorder include, but are not limited
to, neoplasms, benign tumors, malignant tumors, pre-cancerous conditions,
in situ tumors, encapsulated tumors, metastatic tumors, liquid tumors, solid tumors, immunological
tumors, hematological tumors, cancers, carcinomas, leukemias, lymphomas, sarcomas,
and rapidly dividing cells. The term "rapidly dividing cell" as used herein is defined
as any cell that divides at a rate that exceeds or is greater than what is expected
or observed among neighboring or juxtaposed cells within the same tissue. A cell proliferative
disorder includes a precancer or a precancerous condition. A cell proliferative disorder
includes cancer. Preferably, the methods provided herein are used to treat or alleviate
a symptom of cancer. The term "cancer" includes solid tumors, as well as, hematologic
tumors and/or malignancies. A "precancer cell" or "precancerous cell" is a cell manifesting
a cell proliferative disorder that is a precancer or a precancerous condition. A "cancer
cell" or "cancerous cell" is a cell manifesting a cell proliferative disorder that
is a cancer. Any reproducible means of measurement may be used to identify cancer
cells or precancerous cells. Cancer cells or precancerous cells can be identified
by histological typing or grading of a tissue sample (
e.g., a biopsy sample). Cancer cells or precancerous cells can be identified through
the use of appropriate molecular markers.
[0090] Exemplary non-cancerous conditions or disorders include, but are not limited to,
rheumatoid arthritis; inflammation; autoimmune disease; lymphoproliferative conditions;
acromegaly; rheumatoid spondylitis; osteoarthritis; gout, other arthritic conditions;
sepsis; septic shock; endotoxic shock; gram-negative sepsis; toxic shock syndrome;
asthma; adult respiratory distress syndrome; chronic obstructive pulmonary disease;
chronic pulmonary inflammation; inflammatory bowel disease; Crohn's disease; psoriasis;
eczema; ulcerative colitis; pancreatic fibrosis; hepatic fibrosis; acute and chronic
renal disease; irritable bowel syndrome; pyresis; restenosis; cerebral malaria; stroke
and ischemic injury; neural trauma; Alzheimer's disease; Huntington's disease; Parkinson's
disease; acute and chronic pain; allergic rhinitis; allergic conjunctivitis; chronic
heart failure; acute coronary syndrome; cachexia; malaria; leprosy; leishmaniasis;
Lyme disease; Reiter's syndrome; acute synovitis; muscle degeneration, bursitis; tendonitis;
tenosynovitis; herniated, ruptures, or prolapsed intervertebral disk syndrome; osteopetrosis;
thrombosis; restenosis; silicosis; pulmonary sarcosis; bone resorption diseases, such
as osteoporosis; graft-versus-host reaction; Multiple Sclerosis; lupus; fibromyalgia;
AIDS and other viral diseases such as Herpes Zoster, Herpes Simplex I or II, influenza
virus and cytomegalovirus; and diabetes mellitus.
[0091] Exemplary cancers include, but are not limited to, adrenocortical carcinoma, AIDS-related
cancers, AIDS-related lymphoma, anal cancer, anorectal cancer, cancer of the anal
canal, appendix cancer, childhood cerebellar astrocytoma, childhood cerebral astrocytoma,
basal cell carcinoma, skin cancer (non-melanoma), biliary cancer, extrahepatic bile
duct cancer, intrahepatic bile duct cancer, bladder cancer, urinary bladder cancer,
bone and joint cancer, osteosarcoma and malignant fibrous histiocytoma, brain cancer,
brain tumor, brain stem glioma, cerebellar astrocytoma, cerebral astrocytoma/malignant
glioma, ependymoma, medulloblastoma, supratentorial primitive neuroectodeimal tumors,
visual pathway and hypothalamic glioma, breast cancer, bronchial adenomas/carcinoids,
carcinoid tumor, gastrointestinal, nervous system cancer, nervous system lymphoma,
central nervous system cancer, central nervous system lymphoma, cervical cancer, childhood
cancers, chronic lymphocytic leukemia, chronic myelogenous leukemia, chronic myeloproliferative
disorders, colon cancer, colorectal cancer, cutaneous T-cell lymphoma, lymphoid neoplasm,
mycosis fungoides, Seziary Syndrome, endometrial cancer, esophageal cancer, extracranial
germ cell tumor, extragonadal germ cell tumor, extrahepatic bile duct cancer, eye
cancer, intraocular melanoma, retinoblastoma, gallbladder cancer, gastric (stomach)
cancer, gastrointestinal carcinoid tumor, gastrointestinal stromal tumor (GIST), germ
cell tumor, ovarian germ cell tumor, gestational trophoblastic tumor glioma, head
and neck cancer, hepatocellular (liver) cancer, Hodgkin lymphoma, hypopharyngeal cancer,
intraocular melanoma, ocular cancer, islet cell tumors (endocrine pancreas), Kaposi
Sarcoma, kidney cancer, renal cancer, kidney cancer, laryngeal cancer, acute lymphoblastic
leukemia, acute myeloid leukemia, chronic lymphocytic leukemia, chronic myelogenous
leukemia, hairy cell leukemia, lip and oral cavity cancer, liver cancer, lung cancer,
non-small cell lung cancer, small cell lung cancer, AIDS-related lymphoma, non-Hodgkin
lymphoma, primary central nervous system lymphoma, Waldenstram macroglobulinemia,
medulloblastoma, melanoma, intraocular (eye) melanoma, merkel cell carcinoma, mesothelioma
malignant, mesothelioma, metastatic squamous neck cancer, mouth cancer, cancer of
the tongue, multiple endocrine neoplasia syndrome, mycosis fungoides, myelodysplastic
syndromes, myelodysplastic/ myeloproliferative diseases, chronic myelogenous leukemia,
acute myeloid leukemia, multiple myeloma, chronic myeloproliferative disorders, nasopharyngeal
cancer, neuroblastoma, oral cancer, oral cavity cancer, oropharyngeal cancer, ovarian
cancer, ovarian epithelial cancer, ovarian low malignant potential tumor, pancreatic
cancer, islet cell pancreatic cancer, paranasal sinus and nasal cavity cancer, parathyroid
cancer, penile cancer, pharyngeal cancer, pheochromocytoma, pineoblastoma and supratentorial
primitive neuroectodermal tumors, pituitary tumor, plasma cell neoplasm/multiple myeloma,
pleuropulmonary blastoma, prostate cancer, rectal cancer, renal pelvis and ureter,
transitional cell cancer, retinoblastoma, rhabdomyosarcoma, salivary gland cancer,
ewing family of sarcoma tumors, Kaposi Sarcoma, soft tissue sarcoma, uterine cancer,
uterine sarcoma, skin cancer (non-melanoma), skin cancer (melanoma), merkel cell skin
carcinoma, small intestine cancer, soft tissue sarcoma, squamous cell carcinoma, stomach
(gastric) cancer, supratentorial primitive neuroectodermal tumors, testicular cancer,
throat cancer, thymoma, thymoma and thymic carcinoma, thyroid cancer, transitional
cell cancer of the renal pelvis and ureter and other urinary organs, gestational trophoblastic
tumor, urethral cancer, endometrial uterine cancer, uterine sarcoma, uterine corpus
cancer, vaginal cancer, vulvar cancer, and Wilm's Tumor.
[0092] A "cell proliferative disorder of the hematologic system" is a cell proliferative
disorder involving cells of the hematologic system. A cell proliferative disorder
of the hematologic system can include lymphoma, leukemia, myeloid neoplasms, mast
cell neoplasms, myelodysplasia, benign monoclonal gammopathy, lymphomatoid granulomatosis,
lymphomatoid papulosis, polycythemia vera, chronic myelocytic leukemia, agnogenic
myeloid metaplasia, and essential thrombocythemia. A cell proliferative disorder of
the hematologic system can include hyperplasia, dysplasia, and metaplasia of cells
of the hematologic system. Preferably, compositions of the present invention may be
used to treat a cancer selected from the group consisting of a hematologic cancer
of the present invention or a hematologic cell proliferative disorder of the present
invention. A hematologic cancer of the present invention can include multiple myeloma,
lymphoma (including Hodgkin's lymphoma, non-Hodgkin's lymphoma, childhood lymphomas,
and lymphomas of lymphocytic and cutaneous origin), leukemia (including childhood
leukemia, hairy-cell leukemia, acute lymphocytic leukemia, acute myelocytic leukemia,
chronic lymphocytic leukemia, chronic myelocytic leukemia, chronic myelogenous leukemia,
and mast cell leukemia), myeloid neoplasms and mast cell neoplasms.
[0093] A "cell proliferative disorder of the lung" is a cell proliferative disorder involving
cells of the lung. Cell proliferative disorders of the lung can include all forms
of cell proliferative disorders affecting lung cells. Cell proliferative disorders
of the lung can include lung cancer, a precancer or precancerous condition of the
lung, benign growths or lesions of the lung, and malignant growths or lesions of the
lung, and metastatic lesions in tissue and organs in the body other than the lung.
Preferably, compositions of the present invention may be used to treat lung cancer
or cell proliferative disorders of the lung. Lung cancer can include all forms of
cancer of the lung. Lung cancer can include malignant lung neoplasms, carcinoma
in situ, typical carcinoid tumors, and atypical carcinoid tumors. Lung cancer can include
small cell lung cancer ("SCLC"), non-small cell lung cancer ("NSCLC"), non-squamous
non-small cell lung cancer, squamous non-small cell lung cancer, squamous cell carcinoma,
non-squamous cell carcinoma, adenocarcinoma, small cell carcinoma, large cell carcinoma,
adenosquamous cell carcinoma, and mesothelioma. Lung cancer can include "scar carcinoma,"
bronchioalveolar carcinoma, giant cell carcinoma, spindle cell carcinoma, and large
cell neuroendocrine carcinoma. Lung cancer can include lung neoplasms having histologic
and ultrastructual heterogeneity (
e.g., mixed cell types).
[0094] Cell proliferative disorders of the lung can include all forms of cell proliferative
disorders affecting lung cells. Cell proliferative disorders of the lung can include
lung cancer, precancerous conditions of the lung. Cell proliferative disorders of
the lung can include hyperplasia, metaplasia, and dysplasia of the lung. Cell proliferative
disorders of the lung can include asbestos-induced hyperplasia, squamous metaplasia,
and benign reactive mesothelial metaplasia. Cell proliferative disorders of the lung
can include replacement of columnar epithelium with stratified squamous epithelium,
and mucosal dysplasia. Individuals exposed to inhaled injurious environmental agents
such as cigarette smoke and asbestos may be at increased risk for developing cell
proliferative disorders of the lung. Prior lung diseases that may predispose individuals
to development of cell proliferative disorders of the lung can include chronic interstitial
lung disease, necrotizing pulmonary disease, scleroderma, rheumatoid disease, sarcoidosis,
interstitial pneumonitis, tuberculosis, repeated pneumonias, idiopathic pulmonary
fibrosis, granulomata, asbestosis, fibrosing alveolitis, and Hodgkin's disease.
[0095] A "cell proliferative disorder of the colon" is a cell proliferative disorder involving
cells of the colon. Preferably, the cell proliferative disorder of the colon is colon
cancer. Preferably, compositions of the present invention may be used to treat colon
cancer or cell proliferative disorders of the colon. Colon cancer can include all
forms of cancer of the colon. Colon cancer can include sporadic and hereditary colon
cancers. Colon cancer can include malignant colon neoplasms, carcinoma
in situ, typical carcinoid tumors, and atypical carcinoid tumors. Colon cancer can include
adenocarcinoma, squamous cell carcinoma, and adenosquamous cell carcinoma. Colon cancer
can be associated with a hereditary syndrome selected from the group consisting of
hereditary nonpolyposis colorectal cancer, familial adenomatous polyposis, Gardner's
syndrome, Peutz-Jeghers syndrome, Turcot's syndrome and juvenile polyposis. Colon
cancer can be caused by a hereditary syndrome selected from the group consisting of
hereditary nonpolyposis colorectal cancer, familial adenomatous polyposis, Gardner's
syndrome, Peutz-Jeghers syndrome, Turcot's syndrome and juvenile polyposis.
[0096] Cell proliferative disorders of the colon can include all forms of cell proliferative
disorders affecting colon cells. Cell proliferative disorders of the colon can include
colon cancer, precancerous conditions of the colon, adenomatous polyps of the colon
and metachronous lesions of the colon. A cell proliferative disorder of the colon
can include adenoma. Cell proliferative disorders of the colon can be characterized
by hyperplasia, metaplasia, and dysplasia of the colon. Prior colon diseases that
may predispose individuals to development of cell proliferative disorders of the colon
can include prior colon cancer. Current disease that may predispose individuals to
development of cell proliferative disorders of the colon can include Crohn's disease
and ulcerative colitis. A cell proliferative disorder of the colon can be associated
with a mutation in a gene selected from the group consisting of p53,
ras, FAP and
DCC. An individual can have an elevated risk of developing a cell proliferative disorder
of the colon due to the presence of a mutation in a gene selected from the group consisting
of p53,
ras, FAP and
DCC.
[0097] A "cell proliferative disorder of the pancreas" is a cell proliferative disorder
involving cells of the pancreas. Cell proliferative disorders of the pancreas can
include all forms of cell proliferative disorders affecting pancreatic cells. Cell
proliferative disorders of the pancreas can include pancreas cancer, a precancer or
precancerous condition of the pancreas, hyperplasia of the pancreas, and dysaplasia
of the pancreas, benign growths or lesions of the pancreas, and malignant growths
or lesions of the pancreas, and metastatic lesions in tissue and organs in the body
other than the pancreas. Pancreatic cancer includes all forms of cancer of the pancreas.
Pancreatic cancer can include ductal adenocarcinoma, adenosquamous carcinoma, pleomorphic
giant cell carcinoma, mucinous adenocarcinoma, osteoclast-like giant cell carcinoma,
mucinous cystadenocarcinoma, acinar carcinoma, unclassified large cell carcinoma,
small cell carcinoma, pancreatoblastoma, papillary neoplasm, mucinous cystadenoma,
papillary cystic neoplasm, and serous cystadenoma. Pancreatic cancer can also include
pancreatic neoplasms having histologic and ultrastructual heterogeneity (
e.g., mixed cell types).
[0098] A "cell proliferative disorder of the prostate" is a cell proliferative disorder
involving cells of the prostate. Cell proliferative disorders of the prostate can
include all forms of cell proliferative disorders affecting prostate cells. Cell proliferative
disorders of the prostate can include prostate cancer, a precancer or precancerous
condition of the prostate, benign growths or lesions of the prostate, and malignant
growths or lesions of the prostate, and metastatic lesions in tissue and organs in
the body other than the prostate. Cell proliferative disorders of the prostate can
include hyperplasia, metaplasia, and dysplasia of the prostate.
[0099] A "cell proliferative disorder of the skin" is a cell proliferative disorder involving
cells of the skin. Cell proliferative disorders of the skin can include all forms
of cell proliferative disorders affecting skin cells. Cell proliferative disorders
of the skin can include a precancer or precancerous condition of the skin, benign
growths or lesions of the skin, melanoma, malignant melanoma and other malignant growths
or lesions of the skin, and metastatic lesions in tissue and organs in the body other
than the skin. Cell proliferative disorders of the skin can include hyperplasia, metaplasia,
and dysplasia of the skin.
[0100] A "cell proliferative disorder of the ovary" is a cell proliferative disorder involving
cells of the ovary. Cell proliferative disorders of the ovary can include all forms
of cell proliferative disorders affecting cells of the ovary. Cell proliferative disorders
of the ovary can include a precancer or precancerous condition of the ovary, benign
growths or lesions of the ovary, ovarian cancer, malignant growths or lesions of the
ovary, and metastatic lesions in tissue and organs in the body other than the ovary.
Cell proliferative disorders of the skin can include hyperplasia, metaplasia, and
dysplasia of cells of the ovary.
[0101] A "cell proliferative disorder of the breast" is a cell proliferative disorder involving
cells of the breast. Cell proliferative disorders of the breast can include all forms
of cell proliferative disorders affecting breast cells. Cell proliferative disorders
of the breast can include breast cancer, a precancer or precancerous condition of
the breast, benign growths or lesions of the breast, and malignant growths or lesions
of the breast, and metastatic lesions in tissue and organs in the body other than
the breast. Cell proliferative disorders of the breast can include hyperplasia, metaplasia,
and dysplasia of the breast.
[0102] A cell proliferative disorder of the breast can be a precancerous condition of the
breast. Compositions of the present invention may be used to treat a precancerous
condition of the breast. A precancerous condition of the breast can include atypical
hyperplasia of the breast, ductal carcinoma
in situ (DCIS), intraductal carcinoma, lobular carcinoma
in situ (LCIS), lobular neoplasia, and stage 0 or grade 0 growth or lesion of the breast
(
e.g., stage 0 or grade 0 breast cancer, or carcinoma in situ). A precancerous condition
of the breast can be staged according to the TNM classification scheme as accepted
by the American Joint Committee on Cancer (AJCC), where the primary tumor (T) has
been assigned a stage of T0 or Tis; and where the regional lymph nodes (N) have been
assigned a stage of N0; and where distant metastasis (M) has been assigned a stage
of M0.
[0103] The cell proliferative disorder of the breast can be breast cancer. Preferably, compositions
of the present invention may be used to treat breast cancer. Breast cancer includes
all forms of cancer of the breast. Breast cancer can include primary epithelial breast
cancers. Breast cancer can include cancers in which the breast is involved by other
tumors such as lymphoma, sarcoma or melanoma. Breast cancer can include carcinoma
of the breast, ductal carcinoma of the breast, lobular carcinoma of the breast, undifferentiated
carcinoma of the breast, cystosarcoma phyllodes of the breast, angiosarcoma of the
breast, and primary lymphoma of the breast. Breast cancer can include Stage I, II,
IIIA, IIIB, IIIC and IV breast cancer. Ductal carcinoma of the breast can include
invasive carcinoma, invasive carcinoma in situ with predominant intraductal component,
inflammatory breast cancer, and a ductal carcinoma of the breast with a histologic
type selected from the group consisting of comedo, mucinous (colloid), medullary,
medullary with lymphcytic infiltrate, papillary, scirrhous, and tubular. Lobular carcinoma
of the breast can include invasive lobular carcinoma with predominant in situ component,
invasive lobular carcinoma, and infiltrating lobular carcinoma. Breast cancer can
include Paget's disease, Paget's disease with intraductal carcinoma, and Paget's disease
with invasive ductal carcinoma. Breast cancer can include breast neoplasms having
histologic and ultrastructual heterogeneity (
e.g., mixed cell types).
[0104] Preferably, a compound of the present invention may be used to treat breast cancer.
A breast cancer that is to be treated can include familial breast cancer. A breast
cancer that is to be treated can include sporadic breast cancer. A breast cancer that
is to be treated can arise in a male subject. A breast cancer that is to be treated
can arise in a female subject. A breast cancer that is to be treated can arise in
a premenopausal female subject or a postmenopausal female subject. A breast cancer
that is to be treated can arise in a subject equal to or older than 30 years old,
or a subject younger than 30 years old. A breast cancer that is to be treated has
arisen in a subject equal to or older than 50 years old, or a subject younger than
50 years old. A breast cancer that is to be treated can arise in a subject equal to
or older than 70 years old, or a subject younger than 70 years old.
[0105] A breast cancer that is to be treated can be typed to identify a familial or spontaneous
mutation in BRCA1, BRCA2, or p53. A breast cancer that is to be treated can be typed
as having a HER2/neu gene amplification, as overexpressing HER2/neu, or as having
a low, intermediate or high level of HER2/neu expression. A breast cancer that is
to be treated can be typed for a marker selected from the group consisting of estrogen
receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor-2,
Ki-67, CA15-3, CA 27-29, and c-Met. A breast cancer that is to be treated can be typed
as ER-unknown, ER-rich or ER-poor. A breast cancer that is to be treated can be typed
as ER-negative or ER-positive. ER-typing of a breast cancer may be performed by any
reproducible means. ER-typing of a breast cancer may be performed as set forth in
Onkologie 27: 175-179 (2004). A breast cancer that is to be treated can be typed as PR-unknown, PR-rich or PR-poor.
A breast cancer that is to be treated can be typed as PR-negative or PR-positive.
A breast cancer that is to be treated can be typed as receptor positive or receptor
negative. A breast cancer that is to be treated can be typed as being associated with
elevated blood levels of CA 15-3, or CA 27-29, or both.
[0106] A breast cancer that is to be treated can include a localized tumor of the breast.
A breast cancer that is to be treated can include a tumor of the breast that is associated
with a negative sentinel lymph node (SLN) biopsy. A breast cancer that is to be treated
can include a tumor of the breast that is associated with a positive sentinel lymph
node (SLN) biopsy. A breast cancer that is to be treated can include a tumor of the
breast that is associated with one or more positive axillary lymph nodes, where the
axillary lymph nodes have been staged by any applicable method. A breast cancer that
is to be treated can include a tumor of the breast that has been typed as having nodal
negative status (
e.g., node-negative) or nodal positive status (
e.g., node-positive). A breast cancer that is to be treated can include a tumor of the
breast that has metastasized to other locations in the body. A breast cancer that
is to be treated can be classified as having metastasized to a location selected from
the group consisting of bone, lung, liver, or brain. A breast cancer that is to be
treated can be classified according to a characteristic selected from the group consisting
of metastatic, localized, regional, local-regional, locally advanced, distant, multicentric,
bilateral, ipsilateral, contralateral, newly diagnosed, recurrent, and inoperable.
[0107] A compound of the present invention may be used to treat or prevent a cell proliferative
disorder of the breast, or to treat or prevent breast cancer, in a subject having
an increased risk of developing breast cancer relative to the population at large.
A subject with an increased risk of developing breast cancer relative to the population
at large is a female subject with a family history or personal history of breast cancer.
A subject with an increased risk of developing breast cancer relative to the population
at large is a female subject having a germ-line or spontaneous mutation in BRCA1 or
BRCA2, or both. A subject with an increased risk of developing breast cancer relative
to the population at large is a female subject with a family history of breast cancer
and a germ-line or spontaneous mutation in BRCA1 or BRCA2, or both. A subject with
an increased risk of developing breast cancer relative to the population at large
is a female who is greater than 30 years old, greater than 40 years old, greater than
50 years old, greater than 60 years old, greater than 70 years old, greater than 80
years old, or greater than 90 years old. A subject with an increased risk of developing
breast cancer relative to the population at large is a subject with atypical hyperplasia
of the breast, ductal carcinoma in situ (DCIS), intraductal carcinoma, lobular carcinoma
in situ (LCIS), lobular neoplasia, or a stage 0 growth or lesion of the breast
(e.g., stage 0 or grade 0 breast cancer, or carcinoma in situ).
[0108] A breast cancer that is to be treated can histologically graded according to the
Scarff-Bloom-Richardson system, wherein a breast tumor has been assigned a mitosis
count score of 1, 2, or 3; a nuclear pleiomorphism score of 1, 2, or 3; a tubule formation
score of 1, 2, or 3; and a total Scarff-Bloom-Richardson score of between 3 and 9.
A breast cancer that is to be treated can be assigned a tumor grade according to the
International Consensus Panel on the Treatment of Breast Cancer selected from the
group consisting of grade 1, grade 1-2, grade 2, grade 2-3, or grade 3.
[0109] A cancer that is to be treated can be staged according to the American Joint Committee
on Cancer (AJCC) TNM classification system, where the tumor (T) has been assigned
a stage of TX, T1, T1mic, T1a, T1b, T1c, T2, T3, T4, T4a, T4b, T4c, or T4d; and where
the regional lymph nodes (N) have been assigned a stage of NX, N0, N1, N2, N2a, N2b,
N3, N3a, N3b, or N3c; and where distant metastasis (M) can be assigned a stage of
MX, M0, or M1. A cancer that is to be treated can be staged according to an American
Joint Committee on Cancer (AJCC) classification as Stage I, Stage IIA, Stage IIB,
Stage IIIA, Stage IIIB, Stage IIIC, or Stage IV. A cancer that is to be treated can
be assigned a grade according to an AJCC classification as Grade GX
(e.g., grade cannot be assessed), Grade 1, Grade 2, Grade 3 or Grade 4. A cancer that is
to be treated can be staged according to an AJCC pathologic classification (pN) of
pNX, pN0, PN0 (I-), PN0 (I+), PN0 (mol-), PN0 (mol+), PN1, PN1(mi), PN1a, PN1b, PN1c,
pN2, pN2a, pN2b, pN3, pN3a, pN3b, or pN3c.
[0110] A cancer that is to be treated can include a tumor that has been determined to be
less than or equal to about 2 centimeters in diameter. A cancer that is to be treated
can include a tumor that has been determined to be from about 2 to about 5 centimeters
in diameter. A cancer that is to be treated can include a tumor that has been determined
to be greater than or equal to about 3 centimeters in diameter. A cancer that is to
be treated can include a tumor that has been determined to be greater than 5 centimeters
in diameter. A cancer that is to be treated can be classified by microscopic appearance
as well differentiated, moderately differentiated, poorly differentiated, or undifferentiated.
A cancer that is to be treated can be classified by microscopic appearance with respect
to mitosis count
(e.g., amount of cell division) or nuclear pleiomorphism (
e.g., change in cells). A cancer that is to be treated can be classified by microscopic
appearance as being associated with areas of necrosis (
e.g., areas of dying or degenerating cells). A cancer that is to be treated can be classified
as having an abnormal karyotype, having an abnormal number of chromosomes, or having
one or more chromosomes that are abnormal in appearance. A cancer that is to be treated
can be classified as being aneuploid, triploid, tetraploid, or as having an altered
ploidy. A cancer that is to be treated can be classified as having a chromosomal translocation,
or a deletion or duplication of an entire chromosome, or a region of deletion, duplication
or amplification of a portion of a chromosome.
[0111] A cancer that is to be treated can be evaluated by DNA cytometry, flow cytometry,
or image cytometry. A cancer that is to be treated can be typed as having 10%, 20%,
30%, 40%, 50%, 60%, 70%, 80%, or 90% of cells in the synthesis stage of cell division
(e.g., in S phase of cell division). A cancer that is to be treated can be typed as having
a low S-phase fraction or a high S-phase fraction.
[0112] As used herein, a "normal cell" is a cell that cannot be classified as part of a
"cell proliferative disorder." A normal cell lacks unregulated or abnormal growth,
or both, that can lead to the development of an unwanted condition or disease. Preferably,
a normal cell possesses normally functioning cell cycle checkpoint control mechanisms.
[0113] As used herein, "contacting a cell" refers to a condition in which a compound or
other composition of matter is in direct contact with a cell, or is close enough to
induce a desired biological effect in a cell.
[0114] As used herein, "monotherapy" refers to the administration of a single active or
therapeutic compound to a subject in need thereof. Preferably, monotherapy will involve
administration of a therapeutically effective amount of an active compound. For example,
cancer monotherapy with one of the compound of the present invention, or a pharmaceutically
acceptable salt, prodrug, metabolite, analog or derivative thereof, to a subject in
need of treatment of cancer. Monotherapy may be contrasted with combination therapy,
in which a combination of multiple active compounds is administered, preferably with
each component of the combination present in a therapeutically effective amount. In
one aspect, monotherapy with a compound of the present invention, or a pharmaceutically
acceptable salt, prodrug, metabolite, polymorph or solvate thereof, is more effective
than combination therapy in inducing a desired biological effect.
[0115] As used herein, "treating" or "treat" describes the management and care of a patient
for the purpose of combating a disease, condition, or disorder and includes the administration
of a compound of the present invention, or a pharmaceutically acceptable salt, prodrug,
metabolite, polymorph or solvate thereof, to alleviate the symptoms or complications
of a disease, condition or disorder, or to eliminate the disease, condition or disorder.
[0116] A compound of the present invention, or a pharmaceutically acceptable salt, prodrug,
metabolite, polymorph or solvate thereof, can also be used to prevent a disease, condition
or disorder. As used herein, "preventing" or "prevent" describes reducing or eliminating
the onset of the symptoms or complications of the disease, condition or disorder.
[0117] As used herein, the term "alleviate" is meant to describe a process by which the
severity of a sign or symptom of a disorder is decreased. Importantly, a sign or symptom
can be alleviated without being eliminated. In a preferred embodiment, the administration
of pharmaceutical compositions of the invention leads to the elimination of a sign
or symptom, however, elimination is not required. Effective dosages are expected to
decrease the severity of a sign or symptom. For instance, a sign or symptom of a disorder
such as cancer, which can occur in multiple locations, is alleviated if the severity
of the cancer is decreased within at least one of multiple locations.
[0118] As used herein, the term "severity" is meant to describe the potential of cancer
to transform from a precancerous, or benign, state into a malignant state. Alternatively,
or in addition, severity is meant to describe a cancer stage, for example, according
to the TNM system (accepted by the International Union Against Cancer (UICC) and the
American Joint Committee on Cancer (AJCC)) or by other art-recognized methods. Cancer
stage refers to the extent or severity of the cancer, based on factors such as the
location of the primary tumor, tumor size, number of tumors, and lymph node involvement
(spread of cancer into lymph nodes). Alternatively, or in addition, severity is meant
to describe the tumor grade by art-recognized methods (see, National Cancer Institute,
www.cancer.gov). Tumor grade is a system used to classify cancer cells in terms of
how abnormal they look under a microscope and how quickly the tumor is likely to grow
and spread. Many factors are considered when determining tumor grade, including the
structure and growth pattern of the cells. The specific factors used to determine
tumor grade vary with each type of cancer. Severity also describes a histologic grade,
also called differentiation, which refers to how much the tumor cells resemble normal
cells of the same tissue type (see, National Cancer Institute, www.cancer.gov). Furthermore,
severity describes a nuclear grade, which refers to the size and shape of the nucleus
in tumor cells and the percentage of tumor cells that are dividing (see, National
Cancer Institute, www.cancer.gov).
[0119] In another aspect of the invention, severity describes the degree to which a tumor
has secreted growth factors, degraded the extracellular matrix, become vascularized,
lost adhesion to juxtaposed tissues, or metastasized. Moreover, severity describes
the number of locations to which a primary tumor has metastasized. Finally, severity
includes the difficulty of treating tumors of varying types and locations. For example,
inoperable tumors, those cancers which have greater access to multiple body systems
(hematological and immunological tumors), and those which are the most resistant to
traditional treatments are considered most severe. In these situations, prolonging
the life expectancy of the subject and/or reducing pain, decreasing the proportion
of cancerous cells or restricting cells to one system, and improving cancer stage/tumor
grade/histological grade/nuclear grade are considered alleviating a sign or symptom
of the cancer.
[0120] As used herein the term "symptom" is defined as an indication of disease, illness,
injury, or that something is not right in the body. Symptoms are felt or noticed by
the individual experiencing the symptom, but may not easily be noticed by others.
Others are defined as non-health-care professionals.
[0121] As used herein the term "sign" is also defined as an indication that something is
not right in the body. But signs are defined as things that can be seen by a doctor,
nurse, or other health care professional.
[0122] Cancer is a group of diseases that may cause almost any sign or symptom. The signs
and symptoms will depend on where the cancer is, the size of the cancer, and how much
it affects the nearby organs or structures. If a cancer spreads (metastasizes), then
symptoms may appear in different parts of the body.
[0123] As a cancer grows, it begins to push on nearby organs, blood vessels, and nerves.
This pressure creates some of the signs and symptoms of cancer. If the cancer is in
a critical area, such as certain parts of the brain, even the smallest tumor can cause
early symptoms.
[0124] But sometimes cancers start in places where it does not cause any symptoms until
the cancer has grown quite large. Pancreas cancers, for example, do not usually grow
large enough to be felt from the outside of the body. Some pancreatic cancers do not
cause symptoms until they begin to grow around nearby nerves (this causes a backache).
Others grow around the bile duct, which blocks the flow of bile and leads to a yellowing
of the skin known as jaundice. By the time a pancreatic cancer causes these signs
or symptoms, it has usually reached an advanced stage.
[0125] A cancer may also cause symptoms such as fever, fatigue, or weight loss. This may
be because cancer cells use up much of the body's energy supply or release substances
that change the body's metabolism. Or the cancer may cause the immune system to react
in ways that produce these symptoms.
[0126] Sometimes, cancer cells release substances into the bloodstream that cause symptoms
not usually thought to result from cancers. For example, some cancers of the pancreas
can release substances which cause blood clots to develop in veins of the legs. Some
lung cancers make hormone-like substances that affect blood calcium levels, affecting
nerves and muscles and causing weakness and dizziness
[0127] Cancer presents several general signs or symptoms that occur when a variety of subtypes
of cancer cells are present. Most people with cancer will lose weight at some time
with their disease. An unexplained (unintentional) weight loss of 10 pounds or more
may be the first sign of cancer, particularly cancers of the pancreas, stomach, esophagus,
or lung.
[0128] Fever is very common with cancer, but is more often seen in advanced disease. Almost
all patients with cancer will have fever at some time, especially if the cancer or
its treatment affects the immune system and makes it harder for the body to fight
infection. Less often, fever may be an early sign of cancer, such as with leukemia
or lymphoma.
[0129] Fatigue may be an important symptom as cancer progresses. It may happen early, though,
in cancers such as with leukemia, or if the cancer is causing an ongoing loss of blood,
as in some colon or stomach cancers.
[0130] Pain may be an early symptom with some cancers such as bone cancers or testicular
cancer. But most often pain is a symptom of advanced disease.
[0131] Along with cancers of the skin (see next section), some internal cancers can cause
skin signs that can be seen. These changes include the skin looking darker (hyperpigmentation),
yellow (jaundice), or red (erythema); itching; or excessive hair growth.
[0132] Alternatively, or in addition, cancer subtypes present specific signs or symptoms.
Changes in bowel habits or bladder function could indicate cancer. Long-term constipation,
diarrhea, or a change in the size of the stool may be a sign of colon cancer. Pain
with urination, blood in the urine, or a change in bladder function (such as more
frequent or less frequent urination) could be related to bladder or prostate cancer.
[0133] Changes in skin condition or appearance of a new skin condition could indicate cancer.
Skin cancers may bleed and look like sores that do not heal. A long-lasting sore in
the mouth could be an oral cancer, especially in patients who smoke, chew tobacco,
or frequently drink alcohol. Sores on the penis or vagina may either be signs of infection
or an early cancer.
[0134] Unusual bleeding or discharge could indicate cancer. Unusual bleeding can happen
in either early or advanced cancer. Blood in the sputum (phlegm) may be a sign of
lung cancer. Blood in the stool (or a dark or black stool) could be a sign of colon
or rectal cancer. Cancer of the cervix or the endometrium (lining of the uterus) can
cause vaginal bleeding. Blood in the urine may be a sign of bladder or kidney cancer.
A bloody discharge from the nipple may be a sign of breast cancer.
[0135] A thickening or lump in the breast or in other parts of the body could indicate the
presence of a cancer. Many cancers can be felt through the skin, mostly in the breast,
testicle, lymph nodes (glands), and the soft tissues of the body. A lump or thickening
may be an early or late sign of cancer. Any lump or thickening could be indicative
of cancer, especially if the formation is new or has grown in size.
[0136] Indigestion or trouble swallowing could indicate cancer. While these symptoms commonly
have other causes, indigestion or swallowing problems may be a sign of cancer of the
esophagus, stomach, or pharynx (throat).
[0137] Recent changes in a wart or mole could be indicative of cancer. Any wart, mole, or
freckle that changes in color, size, or shape, or loses its definite borders indicates
the potential development of cancer. For example, the skin lesion may be a melanoma.
[0138] A persistent cough or hoarseness could be indicative of cancer. A cough that does
not go away may be a sign of lung cancer. Hoarseness can be a sign of cancer of the
larynx (voice box) or thyroid.
[0139] While the signs and symptoms listed above are the more common ones seen with cancer,
there are many others that are less common and are not listed here. However, all art-recognized
signs and symptoms of cancer are contemplated and encompassed by the instant invention.
[0140] Treating cancer can result in a reduction in size of a tumor. A reduction in size
of a tumor may also be referred to as "tumor regression". Preferably, after treatment,
tumor size is reduced by 5% or greater relative to its size prior to treatment; more
preferably, tumor size is reduced by 10% or greater; more preferably, reduced by 20%
or greater; more preferably, reduced by 30% or greater; more preferably, reduced by
40% or greater; even more preferably, reduced by 50% or greater; and most preferably,
reduced by greater than 75% or greater. Size of a tumor may be measured by any reproducible
means of measurement. The size of a tumor may be measured as a diameter of the tumor.
[0141] Treating cancer can result in a reduction in tumor volume. Preferably, after treatment,
tumor volume is reduced by 5% or greater relative to its size prior to treatment;
more preferably, tumor volume is reduced by 10% or greater; more preferably, reduced
by 20% or greater; more preferably, reduced by 30% or greater; more preferably, reduced
by 40% or greater; even more preferably, reduced by 50% or greater; and most preferably,
reduced by greater than 75% or greater. Tumor volume may be measured by any reproducible
means of measurement.
[0142] Treating cancer results in a decrease in number of tumors. Preferably, after treatment,
tumor number is reduced by 5% or greater relative to number prior to treatment; more
preferably, tumor number is reduced by 10% or greater; more preferably, reduced by
20% or greater; more preferably, reduced by 30% or greater; more preferably, reduced
by 40% or greater; even more preferably, reduced by 50% or greater; and most preferably,
reduced by greater than 75%. Number of tumors may be measured by any reproducible
means of measurement. The number of tumors may be measured by counting tumors visible
to the naked eye or at a specified magnification. Preferably, the specified magnification
is 2x, 3x, 4x, 5x, 10x, or 50x.
[0143] Treating cancer can result in a decrease in number of metastatic lesions in other
tissues or organs distant from the primary tumor site. Preferably, after treatment,
the number of metastatic lesions is reduced by 5% or greater relative to number prior
to treatment; more preferably, the number of metastatic lesions is reduced by 10%
or greater; more preferably, reduced by 20% or greater; more preferably, reduced by
30% or greater; more preferably, reduced by 40% or greater; even more preferably,
reduced by 50% or greater; and most preferably, reduced by greater than 75%. The number
of metastatic lesions may be measured by any reproducible means of measurement. The
number of metastatic lesions may be measured by counting metastatic lesions visible
to the naked eye or at a specified magnification. Preferably, the specified magnification
is 2x, 3x, 4x, 5x, 10x, or 50x.
[0144] Treating cancer can result in an increase in average survival time of a population
of treated subjects in comparison to a population receiving carrier alone. Preferably,
the average survival time is increased by more than 30 days; more preferably, by more
than 60 days; more preferably, by more than 90 days; and most preferably, by more
than 120 days. An increase in average survival time of a population may be measured
by any reproducible means. An increase in average survival time of a population may
be measured, for example, by calculating for a population the average length of survival
following initiation of treatment with an active compound. An increase in average
survival time of a population may also be measured, for example, by calculating for
a population the average length of survival following completion of a first round
of treatment with an active compound.
[0145] Treating cancer can result in an increase in average survival time of a population
of treated subjects in comparison to a population of untreated subjects. Preferably,
the average survival time is increased by more than 30 days; more preferably, by more
than 60 days; more preferably, by more than 90 days; and most preferably, by more
than 120 days. An increase in average survival time of a population may be measured
by any reproducible means. An increase in average survival time of a population may
be measured, for example, by calculating for a population the average length of survival
following initiation of treatment with an active compound. An increase in average
survival time of a population may also be measured, for example, by calculating for
a population the average length of survival following completion of a first round
of treatment with an active compound.
[0146] Treating cancer can result in increase in average survival time of a population of
treated subjects in comparison to a population receiving monotherapy with a drug that
is not a compound of the present invention, or a pharmaceutically acceptable salt,
prodrug, metabolite, analog or derivative thereof. Preferably, the average survival
time is increased by more than 30 days; more preferably, by more than 60 days; more
preferably, by more than 90 days; and most preferably, by more than 120 days. An increase
in average survival time of a population may be measured by any reproducible means.
An increase in average survival time of a population may be measured, for example,
by calculating for a population the average length of survival following initiation
of treatment with an active compound. An increase in average survival time of a population
may also be measured, for example, by calculating for a population the average length
of survival following completion of a first round of treatment with an active compound.
[0147] Treating cancer can result in a decrease in the mortality rate of a population of
treated subjects in comparison to a population receiving carrier alone. Treating cancer
can result in a decrease in the mortality rate of a population of treated subjects
in comparison to an untreated population. Treating cancer can result in a decrease
in the mortality rate of a population of treated subjects in comparison to a population
receiving monotherapy with a drug that is not a compound of the present invention,
or a pharmaceutically acceptable salt, prodrug, metabolite, analog or derivative thereof.
Preferably, the mortality rate is decreased by more than 2%; more preferably, by more
than 5%; more preferably, by more than 10%; and most preferably, by more than 25%.
A decrease in the mortality rate of a population of treated subjects may be measured
by any reproducible means. A decrease in the mortality rate of a population may be
measured, for example, by calculating for a population the average number of disease-related
deaths per unit time following initiation of treatment with an active compound. A
decrease in the mortality rate of a population may also be measured, for example,
by calculating for a population the average number of disease-related deaths per unit
time following completion of a first round of treatment with an active compound.
[0148] Treating cancer can result in a decrease in tumor growth rate. Preferably, after
treatment, tumor growth rate is reduced by at least 5% relative to number prior to
treatment; more preferably, tumor growth rate is reduced by at least 10%; more preferably,
reduced by at least 20%; more preferably, reduced by at least 30%; more preferably,
reduced by at least 40%; more preferably, reduced by at least 50%; even more preferably,
reduced by at least 50%; and most preferably, reduced by at least 75%. Tumor growth
rate may be measured by any reproducible means of measurement. Tumor growth rate can
be measured according to a change in tumor diameter per unit time.
[0149] Treating cancer can result in a decrease in tumor regrowth. Preferably, after treatment,
tumor regrowth is less than 5%; more preferably, tumor regrowth is less than 10%;
more preferably, less than 20%; more preferably, less than 30%; more preferably, less
than 40%; more preferably, less than 50%; even more preferably, less than 50%; and
most preferably, less than 75%. Tumor regrowth may be measured by any reproducible
means of measurement. Tumor regrowth is measured, for example, by measuring an increase
in the diameter of a tumor after a prior tumor shrinkage that followed treatment.
A decrease in tumor regrowth is indicated by failure of tumors to reoccur after treatment
has stopped.
[0150] Treating or preventing a cell proliferative disorder can result in a reduction in
the rate of cellular proliferation. Preferably, after treatment, the rate of cellular
proliferation is reduced by at least 5%; more preferably, by at least 10%; more preferably,
by at least 20%; more preferably, by at least 30%; more preferably, by at least 40%;
more preferably, by at least 50%; even more preferably, by at least 50%; and most
preferably, by at least 75%. The rate of cellular proliferation may be measured by
any reproducible means of measurement. The rate of cellular proliferation is measured,
for example, by measuring the number of dividing cells in a tissue sample per unit
time.
[0151] Treating or preventing a cell proliferative disorder can result in a reduction in
the proportion of proliferating cells. Preferably, after treatment, the proportion
of proliferating cells is reduced by at least 5%; more preferably, by at least 10%;
more preferably, by at least 20%; more preferably, by at least 30%; more preferably,
by at least 40%; more preferably, by at least 50%; even more preferably, by at least
50%; and most preferably, by at least 75%. The proportion of proliferating cells may
be measured by any reproducible means of measurement. Preferably, the proportion of
proliferating cells is measured, for example, by quantifying the number of dividing
cells relative to the number of nondividing cells in a tissue sample. The proportion
of proliferating cells can be equivalent to the mitotic index.
[0152] Treating or preventing a cell proliferative disorder can result in a decrease in
size of an area or zone of cellular proliferation. Preferably, after treatment, size
of an area or zone of cellular proliferation is reduced by at least 5% relative to
its size prior to treatment; more preferably, reduced by at least 10%; more preferably,
reduced by at least 20%; more preferably, reduced by at least 30%; more preferably,
reduced by at least 40%; more preferably, reduced by at least 50%; even more preferably,
reduced by at least 50%; and most preferably, reduced by at least 75%. Size of an
area or zone of cellular proliferation may be measured by any reproducible means of
measurement. The size of an area or zone of cellular proliferation may be measured
as a diameter or width of an area or zone of cellular proliferation.
[0153] Treating or preventing a cell proliferative disorder can result in a decrease in
the number or proportion of cells having an abnormal appearance or morphology. Preferably,
after treatment, the number of cells having an abnormal morphology is reduced by at
least 5% relative to its size prior to treatment; more preferably, reduced by at least
10%; more preferably, reduced by at least 20%; more preferably, reduced by at least
30%; more preferably, reduced by at least 40%; more preferably, reduced by at least
50%; even more preferably, reduced by at least 50%; and most preferably, reduced by
at least 75%. An abnormal cellular appearance or morphology may be measured by any
reproducible means of measurement. An abnormal cellular morphology can be measured
by microscopy,
e.g., using an inverted tissue culture microscope. An abnormal cellular morphology can
take the form of nuclear pleiomorphism.
[0154] As used herein, the term "selectively" means tending to occur at a higher frequency
in one population than in another population. The compared populations can be cell
populations. Preferably, a compound of the present invention, or a pharmaceutically
acceptable salt, prodrug, metabolite, polymorph or solvate thereof, acts selectively
on a cancer or precancerous cell but not on a normal cell. Preferably, a compound
of the present invention, or a pharmaceutically acceptable salt, prodrug, metabolite,
polymorph or solvate thereof, acts selectively to modulate one molecular target
(e.g., a target kinase) but does not significantly modulate another molecular target
(e.g., a non-target kinase). The disclosure also provides a method for selectively inhibiting
the activity of an enzyme, such as a kinase. Preferably, an event occurs selectively
in population A relative to population B if it occurs greater than two times more
frequently in population A as compared to population B. An event occurs selectively
if it occurs greater than five times more frequently in population A. An event occurs
selectively if it occurs greater than ten times more frequently in population A; more
preferably, greater than fifty times; even more preferably, greater than 100 times;
and most preferably, greater than 1000 times more frequently in population A as compared
to population B. For example, cell death would be said to occur selectively in cancer
cells if it occurred greater than twice as frequently in cancer cells as compared
to normal cells.
[0155] A compound of the present invention, or a pharmaceutically acceptable salt, prodrug,
metabolite, polymorph or solvate thereof, can modulate the activity of a molecular
target
(e.g., a target kinase). Modulating refers to stimulating or inhibiting an activity of a
molecular target. Preferably, a compound of the present invention, or a pharmaceutically
acceptable salt, prodrug, metabolite, polymorph or solvate thereof, modulates the
activity of a molecular target if it stimulates or inhibits the activity of the molecular
target by at least 2-fold relative to the activity of the molecular target under the
same conditions but lacking only the presence of said compound. More preferably, a
compound of the present invention, or a pharmaceutically acceptable salt, prodrug,
metabolite, polymorph or solvate thereof, modulates the activity of a molecular target
if it stimulates or inhibits the activity of the molecular target by at least 5-fold,
at least 10-fold, at least 20-fold, at least 50-fold, at least 100-fold relative to
the activity of the molecular target under the same conditions but lacking only the
presence of said compound. The activity of a molecular target may be measured by any
reproducible means. The activity of a molecular target may be measured
in vitro or
in vivo. For example, the activity of a molecular target may be measured
in vitro by an enzymatic activity assay or a DNA binding assay, or the activity of a molecular
target may be measured
in vivo by assaying for expression of a reporter gene.
[0156] A compound of the present invention, or a pharmaceutically acceptable salt, prodrug,
metabolite, polymorph or solvate thereof, does not significantly modulate the activity
of a molecular target if the addition of the compound does not stimulate or inhibit
the activity of the molecular target by greater than 10% relative to the activity
of the molecular target under the same conditions but lacking only the presence of
said compound.
[0157] As used herein, the term "isozyme selective" means preferential inhibition or stimulation
of a first isoform of an enzyme in comparison to a second isoform of an enzyme (
e.
g., preferential inhibition or stimulation of a kinase isozyme alpha in comparison
to a kinase isozyme beta). Preferably, a compound of the present invention, or a pharmaceutically
acceptable salt, prodrug, metabolite, polymorph or solvate thereof, demonstrates a
minimum of a four fold differential, preferably a ten fold differential, more preferably
a fifty fold differential, in the dosage required to achieve a biological effect.
Preferably, a compound of the present invention, or a pharmaceutically acceptable
salt, prodrug, metabolite, polymorph or solvate thereof, demonstrates this differential
across the range of inhibition, and the differential is exemplified at the IC
50,
i.e., a 50% inhibition, for a molecular target of interest.
[0158] Administering a compound of the present invention, or a pharmaceutically acceptable
salt, prodrug, metabolite, polymorph or solvate thereof, to a cell or a subject in
need thereof can result in modulation (
i.e., stimulation or inhibition) of an activity of a kinase of interest.
[0159] The present disclosure provides methods to assess biological activity of a compound
of the present invention, or a pharmaceutically acceptable salt, prodrug, metabolite,
polymorph or solvate thereof,. In one method, an assay based on enzymatic activity
can be utilized. In one specific enzymatic activity assay, the enzymatic activity
is from a kinase. As used herein, "kinase" refers to a large class of enzymes which
catalyze the transfer of the γ-phosphate from ATP to the hydroxyl group on the side
chain of Ser/Thr or Tyr in proteins and peptides and are intimately involved in the
control of various important cell functions, perhaps most notably: signal transduction,
differentiation, and proliferation. There are estimated to be about 2,000 distinct
protein kinases in the human body, and although each of these phosphorylates particular
protein/peptide substrates, they all bind the same second substrate ATP in a highly
conserved pocket. About 50% of the known oncogene products are protein tyrosine kinases
(PTKs), and their kinase activity has been shown to lead to cell transformation. Preferably,
the kinase assayed is a tyrosine kinase.
[0160] A change in enzymatic activity caused by a compound of the present invention, or
a pharmaceutically acceptable salt, prodrug, metabolite, polymorph or solvate thereof,
can be measured in the disclosed assays. The change in enzymatic activity can be characterized
by the change in the extent of phosphorylation of certain substrates. As used herein,
"phosphorylation" refers to the addition of phosphate groups to a substrate, including
proteins and organic molecules; and, plays an important role in regulating the biological
activities of proteins. Preferably, the phosphorylation assayed and measured involves
the addition of phosphate groups to tyrosine residues. The substrate can be a peptide
or protein.
[0161] In some assays, immunological reagents,
e.g., antibodies and antigens, are employed. Fluorescence can be utilized in the measurement
of enzymatic activity in some assays. As used herein, "fluorescence" refers to a process
through which a molecule emits a photon as a result of absorbing an incoming photon
of higher energy by the same molecule. Specific methods for assessing the biological
activity of the disclosed compounds are described in the examples.
[0162] As used herein, an activity of c-Met refers to any biological function or activity
that is carried out by c-Met. For example, a function of c-Met includes phosphorylation
of downstream target proteins. Other functions of c-Met include autophosphorylation,
binding of adaptor proteins such as Gab-1, Grb-2, Shc, SHP2 and c-Cbl, and activation
of signal transducers such as Ras, Src, PI3K, PLC-γ, STATs, ERK1 and 2 and FAK.
[0163] Administering a compound of the present invention, or a pharmaceutically acceptable
salt, prodrug, metabolite, polymorph or solvate thereof, to a cell or a subject in
need thereof results in modulation
(i.e., stimulation or inhibition) of an activity of an intracellular target
(e.g., substrate). Several intracellular targets can be modulated with the compounds of
the present invention, including, but not limited to, adaptor proteins such as Gab-1,
Grb-2, Shc, SHP2 and c-Cbl, and signal transducers such as Ras, Src, PI3K, PLC-γ,
STATs, ERK1 and 2 and FAK.
[0164] Activating refers to placing a composition of matter (
e.g., protein or nucleic acid) in a state suitable for carrying out a desired biological
function. A composition of matter capable of being activated also has an unactivated
state. An activated composition of matter may have an inhibitory or stimulatory biological
function, or both.
[0165] Elevation refers to an increase in a desired biological activity of a composition
of matter
(e.g., a protein or a nucleic acid). Elevation may occur through an increase in concentration
of a composition of matter.
[0166] As used herein, "a cell cycle checkpoint pathway" refers to a biochemical pathway
that is involved in modulation of a cell cycle checkpoint. A cell cycle checkpoint
pathway may have stimulatory or inhibitory effects, or both, on one or more functions
comprising a cell cycle checkpoint. A cell cycle checkpoint pathway is comprised of
at least two compositions of matter, preferably proteins, both of which contribute
to modulation of a cell cycle checkpoint. A cell cycle checkpoint pathway may be activated
through an activation of one or more members of the cell cycle checkpoint pathway.
Preferably, a cell cycle checkpoint pathway is a biochemical signaling pathway.
[0167] As used herein, "cell cycle checkpoint regulator" refers to a composition of matter
that can function, at least in part, in modulation of a cell cycle checkpoint. A cell
cycle checkpoint regulator may have stimulatory or inhibitory effects, or both, on
one or more functions comprising a cell cycle checkpoint. A cell cycle checkpoint
regulator can be a protein or not a protein.
[0168] Treating cancer or a cell proliferative disorder can result in cell death, and preferably,
cell death results in a decrease of at least 10% in number of cells in a population.
More preferably, cell death means a decrease of at least 20%; more preferably, a decrease
of at least 30%; more preferably, a decrease of at least 40%; more preferably, a decrease
of at least 50%; most preferably, a decrease of at least 75%. Number of cells in a
population may be measured by any reproducible means. A number of cells in a population
can be measured by fluorescence activated cell sorting (FACS), immunofluorescence
microscopy and light microscopy. Methods of measuring cell death are as shown in
Li et al., Proc Natl Acad Sci U S A. 100(5): 2674-8, 2003. In an aspect, cell death occurs by apoptosis.
[0169] Preferably, an effective amount of a compound of the present invention, or a pharmaceutically
acceptable salt, prodrug, metabolite, polymorph or solvate thereof, is not significantly
cytotoxic to normal cells. A therapeutically effective amount of a compound is not
significantly cytotoxic to normal cells if administration of the compound in a therapeutically
effective amount does not induce cell death in greater than 10% of normal cells. A
therapeutically effective amount of a compound does not significantly affect the viability
of normal cells if administration of the compound in a therapeutically effective amount
does not induce cell death in greater than 10% of normal cells. In an aspect, cell
death occurs by apoptosis.
[0170] Contacting a cell with a compound of the present invention, or a pharmaceutically
acceptable salt, prodrug, metabolite, polymorph or solvate thereof, can induce or
activate cell death selectively in cancer cells. Administering to a subject in need
thereof a compound of the present invention, or a pharmaceutically acceptable salt,
prodrug, metabolite, polymorph or solvate thereof, can induce or activate cell death
selectively in cancer cells. Contacting a cell with a compound of the present invention,
or a pharmaceutically acceptable salt, prodrug, metabolite, polymorph or solvate thereof,
can induce cell death selectively in one or more cells affected by a cell proliferative
disorder. Preferably, administering to a subject in need thereof a compound of the
present invention, or a pharmaceutically acceptable salt, prodrug, metabolite, polymorph
or solvate thereof, induces cell death selectively in one or more cells affected by
a cell proliferative disorder.
[0171] The present invention relates to a compound of the present invention, or a pharmaceutically
acceptable salt, or solvate thereof, for use in a method of treating or preventing
cancer by administering the compound to a subject in need thereof, where administration
of the compound of the present invention, or a pharmaceutically acceptable salt, or
solvate thereof, results in one or more of the following: accumulation of cells in
G1 and/or S phase of the cell cycle, cytotoxicity via cell death in cancer cells without
a significant amount of cell death in normal cells, antitumor activity in animals
with a therapeutic index of at least 2, and activation of a cell cycle checkpoint.
As used herein, "therapeutic index" is the maximum tolerated dose divided by the efficacious
dose.
[0172] One skilled in the art may refer to general reference texts for detailed descriptions
of known techniques discussed herein or equivalent techniques. These texts include
Ausubel et al., Current Protocols in Molecular Biology, John Wiley and Sons, Inc.
(2005);
Sambrook et al., Molecular Cloning, A Laboratory Manual (3rd edition), Cold Spring
Harbor Press, Cold Spring Harbor, New York (2000);
Coligan et al., Current Protocols in Immunology, John Wiley & Sons, N.Y.;
Enna et al., Current Protocols in Pharmacology, John Wiley & Sons, N.Y.;
Fingl et al., The Pharmacological Basis of Therapeutics (1975),
Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton, PA, 18th edition
(1990). These texts can, of course, also be referred to in making or using an aspect of
the invention
[0173] As used herein, "combination therapy" or "co-therapy" includes the administration
of a compound of the present invention, or a pharmaceutically acceptable salt, prodrug,
metabolite, polymorph or solvate thereof, and at least a second agent as part of a
specific treatment regimen intended to provide the beneficial effect from the co-action
of these therapeutic agents. The beneficial effect of the combination includes, but
is not limited to, pharmacokinetic or pharmacodynamic co-action resulting from the
combination of therapeutic agents. Administration of these therapeutic agents in combination
typically is carried out over a defined time period (usually minutes, hours, days
or weeks depending upon the combination selected). "Combination therapy" may be, but
generally is not, intended to encompass the administration of two or more of these
therapeutic agents as part of separate monotherapy regimens that incidentally and
arbitrarily result in the combinations of the present invention.
[0174] "Combination therapy" is intended to embrace administration of these therapeutic
agents in a sequential manner, wherein each therapeutic agent is administered at a
different time, as well as administration of these therapeutic agents, or at least
two of the therapeutic agents, in a substantially simultaneous manner. Substantially
simultaneous administration can be accomplished, for example, by administering to
the subject a single capsule having a fixed ratio of each therapeutic agent or in
multiple, single capsules for each of the therapeutic agents. Sequential or substantially
simultaneous administration of each therapeutic agent can be effected by any appropriate
route including, but not limited to, oral routes, intravenous routes, intramuscular
routes, and direct absorption through mucous membrane tissues. The therapeutic agents
can be administered by the same route or by different routes. For example, a first
therapeutic agent of the combination selected may be administered by intravenous injection
while the other therapeutic agents of the combination may be administered orally.
Alternatively, for example, all therapeutic agents may be administered orally or all
therapeutic agents may be administered by intravenous injection. The sequence in which
the therapeutic agents are administered is not narrowly critical.
[0175] "Combination therapy" also embraces the administration of the therapeutic agents
as described above in further combination with other biologically active ingredients
and non-drug therapies (
e.g., surgery or radiation treatment). Where the combination therapy further comprises
a non-drug treatment, the non-drug treatment may be conducted at any suitable time
so long as a beneficial effect from the co-action of the combination of the therapeutic
agents and non-drug treatment is achieved. For example, in appropriate cases, the
beneficial effect is still achieved when the non-drug treatment is temporally removed
from the administration of the therapeutic agents, perhaps by days or even weeks.
[0176] A compound of the present invention, or a pharmaceutically acceptable salt, prodrug,
metabolite, analog or derivative thereof, may be administered in combination with
a second chemotherapeutic agent. The second chemotherapeutic agent (also referred
to as an anti-neoplastic agent or anti-proliferative agent) can be an alkylating agent;
an antibiotic; an anti-metabolite; a detoxifying agent; an interferon; a polyclonal
or monoclonal antibody; an EGFR inhibitor; a HER2 inhibitor; a histone deacetylase
inhibitor; a hormone; a mitotic inhibitor; an MTOR inhibitor; a multi-kinase inhibitor;
a serine/threonine kinase inhibitor; a tyrosine kinase inhibitors; a VEGF/VEGFR inhibitor;
a taxane or taxane derivative, an aromatase inhibitor, an anthracycline, a microtubule
targeting drug, a topoisomerase poison drug, an inhibitor of a molecular target or
enzyme (
e.g., a kinase inhibitor), a cytidine analogue drug or any chemotherapeutic, anti-neoplastic
or anti-proliferative agent listed in www.cancer.org/docroot/cdg/cdg_0.asp.
[0177] Exemplary alkylating agents include, but are not limited to, cyclophosphamide (Cytoxan;
Neosar); chlorambucil (Leukeran); melphalan (Alkeran); carmustine (BiCNU); busulfan
(Busulfex); lomustine (CeeNU); dacarbazine (DTIC-Dome); oxaliplatin (Eloxatin); carmustine
(Gliadel); ifosfamide (Ifex); mechlorethamine (Mustargen); busulfan (Myleran); carboplatin
(Paraplatin); cisplatin (CDDP; Platinol); temozolomide (Temodar); thiotepa (Thioplex);
bendamustine (Treanda); or streptozocin (Zanosar).
[0178] Exemplary antibiotics include, but are not limited to, doxorubicin (Adriamycin);
doxorubicin liposomal (Doxil); mitoxantrone (Novantrone); bleomycin (Blenoxane); daunorubicin
(Cerubidine); daunorubicin liposomal (DaunoXome); dactinomycin (Cosmegen); epirubicin
(Ellence); idarubicin (Idamycin); plicamycin (Mithracin); mitomycin (Mutamycin); pentostatin
(Nipent); or valrubicin (Valstar).
[0179] Exemplary anti-metabolites include, but are not limited to, fluorouracil (Adrucil);
capecitabine (Xeloda); hydroxyurea (Hydrea); mercaptopurine (Purinethol); pemetrexed
(Alimta); fludarabine (Fludara); nelarabine (Arranon); cladribine (Cladribine Novaplus);
clofarabine (Clolar); cytarabine (Cytosar-U); decitabine (Dacogen); cytarabine liposomal
(DepoCyt); hydroxyurea (Droxia); pralatrexate (Folotyn); floxuridine (FUDR); gemcitabine
(Gemzar); cladribine (Leustatin); fludarabine (Oforta); methotrexate (MTX; Rheumatrex);
methotrexate (Trexall); thioguanine (Tabloid); TS-1 or cytarabine (Tarabine PFS).
[0180] Exemplary detoxifying agents include, but are not limited to, amifostine (Ethyol)
or mesna (Mesnex).
[0181] Exemplary interferons include, but are not limited to, interferon alfa-2b (Intron
A) or interferon alfa-2a (Roferon-A).
[0182] Exemplary polyclonal or monoclonal antibodies include, but are not limited to, trastuzumab
(Herceptin); ofatumumab (Arzerra); bevacizumab (Avastin); rituximab (Rituxan); cetuximab
(Erbitux); panitumumab (Vectibix); tositumomab/iodine
131 tositumomab (Bexxar); alemtuzumab (Campath); ibritumomab (Zevalin; In-111; Y-90 Zevalin);
gemtuzumab (Mylotarg); eculizumab (Soliris) ordenosumab.
[0183] Exemplary EGFR inhibitors include, but are not limited to, gefitinib (Iressa); lapatinib
(Tykerb); cetuximab (Erbitux); erlotinib (Tarceva); panitumumab (Vectibix); PKI-166;
canertinib (CI-1033); matuzumab (Emd7200) or EKB-569.
[0184] Exemplary HER2 inhibitors include, but are not limited to, trastuzumab (Herceptin);
lapatinib (Tykerb) or AC-480.
[0185] Histone Deacetylase Inhibitors include, but are not limited to, vorinostat (Zolinza).
[0186] Exemplary hormones include, but are not limited to, tamoxifen (Soltamox; Nolvadex);
raloxifene (Evista); megestrol (Megace); leuprolide (Lupron; Lupron Depot; Eligard;
Viadur); fulvestrant (Faslodex); letrozole (Femara); triptorelin (Trelstar LA; Trelstar
Depot); exemestane (Aromasin); goserelin (Zoladex); bicalutamide (Casodex); anastrozole
(Arimidex); fluoxymesterone (Androxy; Halotestin); medroxyprogesterone (Provera; Depo-Provera);
estramustine (Emcyt); flutamide (Eulexin); toremifene (Fareston); degarelix (Firmagon);
nilutamide (Nilandron); abarelix (Plenaxis); or testolactone (Teslac).
[0187] Exemplary mitotic inhibitors include, but are not limited to, paclitaxel (Taxol;
Onxol; Abraxane); docetaxel (Taxotere); vincristine (Oncovin; Vincasar PFS); vinblastine
(Velban); etoposide (Toposar; Etopophos; VePesid); teniposide (Vumon); ixabepilone
(Ixempra); nocodazole; epothilone; vinorelbine (Navelbine); camptothecin (CPT); irinotecan
(Camptosar); topotecan (Hycamtin); amsacrine or lamellarin D (LAM-D).
[0188] Exemplary MTOR inhibitors include, but are not limited to, everolimus (Afinitor)
or temsirolimus (Torisel); rapamune, ridaforolimus; or AP23573.
[0189] Exemplary multi-kinase inhibitors include, but are not limited to, sorafenib (Nexavar);
sunitinib (Sutent); BIBW 2992; E7080; Zd6474; PKC-412; motesanib; or AP24534.
[0190] Exemplary serine/threonine kinase inhibitors include, but are not limited to, ruboxistaurin;
eril/easudil hydrochloride; flavopiridol; seliciclib (CYC202; Roscovitrine); SNS-032
(BMS-387032); Pkc412; bryostatin; KAI-9803;SF1126; VX-680; Azd1152; Arry-142886 (AZD-6244);
SCIO-469; GW681323; CC-401; CEP-1347 or PD 332991.
[0191] Exemplary tyrosine kinase inhibitors include, but are not limited to, erlotinib (Tarceva);
gefitinib (Iressa); imatinib (Gleevec); sorafenib (Nexavar); sunitinib (Sutent); trastuzumab
(Herceptin); bevacizumab (Avastin); rituximab (Rituxan); lapatinib (Tykerb); cetuximab
(Erbitux); panitumumab (Vectibix); everolimus (Afinitor); alemtuzumab (Campath); gemtuzumab
(Mylotarg); temsirolimus (Torisel); pazopanib (Votrient); dasatinib (Sprycel); nilotinib
(Tasigna); vatalanib (Ptk787; ZK222584); CEP-701; SU5614; MLN518; XL999; VX-322; Azd0530;
BMS-354825; SKI-606 CP-690; AG-490; WHI-P154; WHI-P131; AC-220; or AMG888.
[0192] Exemplary VEGF/VEGFR inhibitors include, but are not limited to, bevacizumab (Avastin);
sorafenib (Nexavar); sunitinib (Sutent); ranibizumab; pegaptanib; or vandetinib.
[0193] Exemplary microtubule targeting drugs include, but are not limited to, paclitaxel,
docetaxel, vincristin, vinblastin, nocodazole, epothilones and navelbine.
[0194] Exemplary topoisomerase poison drugs include, but are not limited to, teniposide,
etoposide, adriamycin, camptothecin, daunorubicin, dactinomycin, mitoxantrone, amsacrine,
epirubicin and idarubicin.
[0195] Exemplary taxanes or taxane derivatives include, but are not limited to, paclitaxel
and docetaxol.
[0196] Exemplary general chemotherapeutic, anti-neoplastic, anti-proliferative agents include,
but are not limited to, altretamine (Hexalen); isotretinoin (Accutane; Amnesteem;
Claravis; Sotret); tretinoin (Vesanoid); azacitidine (Vidaza); bortezomib (Velcade)
asparaginase (Elspar); levamisole (Ergamisol); mitotane (Lysodren); procarbazine (Matulane);
pegaspargase (Oncaspar); denileukin diftitox (Ontak); porfimer (Photofrin); aldesleukin
(Proleukin); lenalidomide (Revlimid); bexarotene (Targretin); thalidomide (Thalomid);
temsirolimus (Torisel); arsenic trioxide (Trisenox); verteporfin (Visudyne); mimosine
(Leucenol); (1M tegafur - 0.4 M 5-chloro-2,4-dihydroxypyrimidine - 1 M potassium oxonate)
or lovastatin.
[0197] In another aspect, the second chemotherapeutic agent can be a cytokine such as G-CSF
(granulocyte colony stimulating factor). In another aspect, a compound of the present
invention, or a pharmaceutically acceptable salt, prodrug, metabolite, analog or derivative
thereof, may be administered in combination with radiation therapy. Radiation therapy
can also be administered in combination with a compound of the present invention and
another chemotherapeutic agent described herein as part of a multiple agent therapy.
In yet another aspect, a compound of the present invention, or a pharmaceutically
acceptable salt, prodrug, metabolite, analog or derivative thereof, may be administered
in combination with standard chemotherapy combinations such as, but not restricted
to, CMF (cyclophosphamide, methotrexate and 5-fluorouracil), CAF (cyclophosphamide,
adriamycin and 5-fluorouracil), AC (adriamycin and cyclophosphamide), FEC (5-fluorouracil,
epirubicin, and cyclophosphamide), ACT or ATC (adriamycin, cyclophosphamide, and paclitaxel),
rituximab, Xeloda (capecitabine), Cisplatin (CDDP), Carboplatin, TS-1 (tegafur, gimestat
and otastat potassium at a molar ratio of 1:0.4:1), Camptothecin-11 (CPT-11, Irinotecan
or Camptosar™) or CMFP (cyclophosphamide, methotrexate, 5-fluorouracil and prednisone).
[0198] In preferred embodiments, a compound of the present invention, or a pharmaceutically
acceptable salt, prodrug, metabolite, polymorph or solvate thereof, may be administered
with an inhibitor of an enzyme, such as a receptor or non-receptor kinase. Receptor
and non-receptor kinases of the invention are, for example, tyrosine kinases or serine/threonine
kinases. Kinase inhibitors of the invention are small molecules, polynucleic acids,
polypeptides, or antibodies.
[0199] Exemplary kinase inhibitors include, but are not limited to, Bevacizumab (targets
VEGF), BIBW 2992 (targets EGFR and Erb2), Cetuximab/Erbitux (targets Erb1), Imatinib/Gleevic
(targets Bcr-Abl), Trastuzumab (targets Erb2), Gefitinib/Iressa (targets EGFR), Ranibizumab
(targets VEGF), Pegaptanib (targets VEGF), Erlotinib/Tarceva (targets Erb1), Nilotinib
(targets Bcr-Abl), Lapatinib (targets Erb1 and Erb2/Her2), GW-572016/lapatinib ditosylate
(targets HER2/Erb2), Panitumumab/Vectibix (targets EGFR), Vandetinib (targets RET/VEGFR),
E7080 (multiple targets including RET and VEGFR), Herceptin (targets HER2/Erb2), PKI-166
(targets EGFR), Canertinib/CI-1033 (targets EGFR), Sunitinib/SU-11464/Sutent (targets
EGFR and FLT3), Matuzumab/Emd7200 (targets EGFR), EKB-569 (targets EGFR), Zd6474 (targets
EGFR and VEGFR), PKC-412 (targets VEGR and FLT3), Vatalanib/Ptk787/ZK222584 (targets
VEGR), CEP-701 (targets FLT3), SU5614 (targets FLT3), MLN518 (targets FLT3), XL999
(targets FLT3), VX-322 (targets FLT3), Azd0530 (targets SRC), BMS-354825 (targets
SRC), SKI-606 (targets SRC), CP-690 (targets JAK), AG-490 (targets JAK), WHI-P154
(targets JAK), WHI-P131 (targets JAK), sorafenib/Nexavar (targets RAF kinase, VEGFR-1,
VEGFR-2, VEGFR-3, PDGFR-ß, KIT, FLT-3, and RET), Dasatinib/Sprycel (BCR/ABL and Src),
AC-220 (targets Flt3), AC-480 (targets all HER proteins, "panHER"), Motesanib diphosphate
(targets VEGF1-3, PDGFR, and c-kit), Denosumab (targets RANKL, inhibits SRC), AMG888
(targets HER3), and AP24534 (multiple targets including Flt3).
[0200] Exemplary serine/threonine kinase inhibitors include, but are not limited to, Rapamune
(targets mTOR/FRAP1), Deforolimus (targets mTOR), Certican/Everolimus (targets mTOR/FRAP1),
AP23573 (targets mTOR/FRAP1), Eril/Fasudil hydrochloride (targets RHO), Flavopiridol
(targets CDK), Seliciclib/CYC202/Roscovitrine (targets CDK), SNS-032/BMS-387032 (targets
CDK), Ruboxistaurin (targets PKC), Pkc412 (targets PKC), Bryostatin (targets PKC),
KAI-9803 (targets PKC), SF1126 (targets PI3K), VX-680 (targets Aurora kinase), Azd1152
(targets Aurora kinase), Arry-142886/AZD-6244 (targets MAP/MEK), SCIO-469 (targets
MAP/MEK), GW681323 (targets MAP/MEK), CC-401 (targets JNK), CEP-1347 (targets JNK),
and PD 332991 (targets CDK).
4. Pharmaceutical Compositions
[0201] The present invention also provides pharmaceutical compositions comprising a compound
of formula Ia, Ib, Ic or Id in combination with at least one pharmaceutically acceptable
excipient or carrier.
[0202] A "pharmaceutical composition" is a formulation containing the compounds of the present
invention in a form suitable for administration to a subject. In one embodiment, the
pharmaceutical composition is in bulk or in unit dosage form. The unit dosage form
is any of a variety of forms, including, for example, a capsule, an IV bag, a tablet,
a single pump on an aerosol inhaler or a vial. The quantity of active ingredient (
e.g., a formulation of the disclosed compound or salt, hydrate, solvate or isomer thereof)
in a unit dose of composition is an effective amount and is varied according to the
particular treatment involved. One skilled in the art will appreciate that it is sometimes
necessary to make routine variations to the dosage depending on the age and condition
of the patient. The dosage will also depend on the route of administration. A variety
of routes are contemplated, including oral, pulmonary, rectal, parenteral, transdermal,
subcutaneous, intravenous, intramuscular, intraperitoneal, inhalational, buccal, sublingual,
intrapleural, intrathecal, intranasal, and the like. Dosage forms for the topical
or transdermal administration of a compound of this invention include powders, sprays,
ointments, pastes, creams, lotions, gels, solutions, patches and inhalants. In one
embodiment, the active compound is mixed under sterile conditions with a pharmaceutically
acceptable carrier, and with any preservatives, buffers or propellants that are required.
[0203] As used herein, the phrase "pharmaceutically acceptable" refers to those compounds,
materials, compositions, carriers, and/or dosage forms which are, within the scope
of sound medical judgment, suitable for use in contact with the tissues of human beings
and animals without excessive toxicity, irritation, allergic response, or other problem
or complication, commensurate with a reasonable benefit/risk ratio.
[0204] "Pharmaceutically acceptable excipient" means an excipient that is useful in preparing
a pharmaceutical composition that is generally safe, non-toxic and neither biologically
nor otherwise undesirable, and includes excipient that is acceptable for veterinary
use as well as human pharmaceutical use. A "pharmaceutically acceptable excipient"
as used in the specification and claims includes both one and more than one such excipient.
[0205] A pharmaceutical composition of the invention is formulated to be compatible with
its intended route of administration. Examples of routes of administration include
parenteral,
e.g., intravenous, intradermal, subcutaneous, oral (
e.g., inhalation), transdermal (topical), and transmucosal administration. Solutions or
suspensions used for parenteral, intradermal, or subcutaneous application can include
the following components: a sterile diluent such as water for injection, saline solution,
fixed oils, polyethylene glycols, glycerine, propylene glycol or other synthetic solvents;
antibacterial agents such as benzyl alcohol or methyl parabens; antioxidants such
as ascorbic acid or sodium bisulfite; chelating agents such as ethylenediaminetetraacetic
acid; buffers such as acetates, citrates or phosphates, and agents for the adjustment
of tonicity such as sodium chloride or dextrose. The pH can be adjusted with acids
or bases, such as hydrochloric acid or sodium hydroxide. The parenteral preparation
can be enclosed in ampoules, disposable syringes or multiple dose vials made of glass
or plastic.
[0206] A compound or pharmaceutical composition of the invention can be administered to
a subject in many of the well-known methods currently used for chemotherapeutic treatment.
For example, for treatment of cancers, a compound of the invention may be injected
directly into tumors, injected into the blood stream or body cavities or taken orally
or applied through the skin with patches. The dose chosen should be sufficient to
constitute effective treatment but not so high as to cause unacceptable side effects.
The state of the disease condition (
e.g., cancer, precancer, and the like) and the health of the patient should preferably
be closely monitored during and for a reasonable period after treatment.
[0207] The term "therapeutically effective amount", as used herein, refers to an amount
of a pharmaceutical agent to treat, ameliorate, or prevent an identified disease or
condition, or to exhibit a detectable therapeutic or inhibitory effect. The effect
can be detected by any assay method known in the art. The precise effective amount
for a subject will depend upon the subject's body weight, size, and health; the nature
and extent of the condition; and the therapeutic or combination of therapeutics selected
for administration. Therapeutically effective amounts for a given situation can be
determined by routine experimentation that is within the skill and judgment of the
clinician. In a preferred aspect, the disease or condition to be treated is cancer.
In another aspect, the disease or condition to be treated is a cell proliferative
disorder.
[0208] For any compound, the therapeutically effective amount can be estimated initially
either in cell culture assays,
e.g., of neoplastic cells, or in animal models, usually rats, mice, rabbits, dogs, or
pigs. The animal model may also be used to determine the appropriate concentration
range and route of administration. Such information can then be used to determine
useful doses and routes for administration in humans. Therapeutic/prophylactic efficacy
and toxicity may be determined by standard pharmaceutical procedures in cell cultures
or experimental animals,
e.g., ED
50 (the dose therapeutically effective in 50% of the population) and LD
50 (the dose lethal to 50% of the population). The dose ratio between toxic and therapeutic
effects is the therapeutic index, and it can be expressed as the ratio, LD
50/ED
50. Pharmaceutical compositions that exhibit large therapeutic indices are preferred.
The dosage may vary within this range depending upon the dosage form employed, sensitivity
of the patient, and the route of administration.
[0209] Dosage and administration are adjusted to provide sufficient levels of the active
agent(s) or to maintain the desired effect. Factors which may be taken into account
include the severity of the disease state, general health of the subject, age, weight,
and gender of the subject, diet, time and frequency of administration, drug combination(s),
reaction sensitivities, and tolerance/response to therapy. Long-acting pharmaceutical
compositions may be administered every 3 to 4 days, every week, or once every two
weeks depending on half-life and clearance rate of the particular formulation.
[0210] The pharmaceutical compositions containing active compounds of the present invention
may be manufactured in a manner that is generally known,
e.g., by means of conventional mixing, dissolving, granulating, dragee-making, levigating,
emulsifying, encapsulating, entrapping, or lyophilizing processes. Pharmaceutical
compositions may be formulated in a conventional manner using one or more pharmaceutically
acceptable carriers comprising excipients and/or auxiliaries that facilitate processing
of the active compounds into preparations that can be used pharmaceutically. Of course,
the appropriate formulation is dependent upon the route of administration chosen.
[0211] Pharmaceutical compositions suitable for injectable use include sterile aqueous solutions
(where water soluble) or dispersions and sterile powders for the extemporaneous preparation
of sterile injectable solutions or dispersion. For intravenous administration, suitable
carriers include physiological saline, bacteriostatic water, Cremophor EL™ (BASF,
Parsippany, N.J.) or phosphate buffered saline (PBS). In all cases, the composition
must be sterile and should be fluid to the extent that easy syringeability exists.
It must be stable under the conditions of manufacture and storage and must be preserved
against the contaminating action of microorganisms such as bacteria and fungi. The
carrier can be a solvent or dispersion medium containing, for example, water, ethanol,
polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol, and
the like), and suitable mixtures thereof. The proper fluidity can be maintained, for
example, by the use of a coating such as lecithin, by the maintenance of the required
particle size in the case of dispersion and by the use of surfactants. Prevention
of the action of microorganisms can be achieved by various antibacterial and antifungal
agents, for example, parabens, chlorobutanol, phenol, ascorbic acid, thimerosal, and
the like. In many cases, it will be preferable to include isotonic agents, for example,
sugars, polyalcohols such as manitol, sorbitol, and sodium chloride in the composition.
Prolonged absorption of the injectable compositions can be brought about by including
in the composition an agent which delays absorption, for example, aluminum monostearate
and gelatin.
[0212] Sterile injectable solutions can be prepared by incorporating the active compound
in the required amount in an appropriate solvent with one or a combination of ingredients
enumerated above, as required, followed by filtered sterilization. Generally, dispersions
are prepared by incorporating the active compound into a sterile vehicle that contains
a basic dispersion medium and the required other ingredients from those enumerated
above. In the case of sterile powders for the preparation of sterile injectable solutions,
methods of preparation are vacuum drying and freeze-drying that yields a powder of
the active ingredient plus any additional desired ingredient from a previously sterile-filtered
solution thereof.
[0213] Oral compositions generally include an inert diluent or an edible pharmaceutically
acceptable carrier. They can be enclosed in gelatin capsules or compressed into tablets.
For the purpose of oral therapeutic administration, the active compound can be incorporated
with excipients and used in the form of tablets, troches, or capsules. Oral compositions
can also be prepared using a fluid carrier for use as a mouthwash, wherein the compound
in the fluid carrier is applied orally and swished and expectorated or swallowed.
Pharmaceutically compatible binding agents, and/or adjuvant materials can be included
as part of the composition. The tablets, pills, capsules, troches and the like can
contain any of the following ingredients, or compounds of a similar nature: a binder
such as microcrystalline cellulose, gum tragacanth or gelatin; an excipient such as
starch or lactose, a disintegrating agent such as alginic acid, Primogel, or corn
starch; a lubricant such as magnesium stearate or Sterotes; a glidant such as colloidal
silicon dioxide; a sweetening agent such as sucrose or saccharin; or a flavoring agent
such as peppermint, methyl salicylate, or orange flavoring.
[0214] For administration by inhalation, the compounds are delivered in the form of an aerosol
spray from pressured container or dispenser, which contains a suitable propellant,
e.g., a gas such as carbon dioxide, or a nebulizer.
[0215] Systemic administration can also be by transmucosal or transdermal means. For transmucosal
or transdermal administration, penetrants appropriate to the barrier to be permeated
are used in the formulation. Such penetrants are generally known in the art, and include,
for example, for transmucosal administration, detergents, bile salts, and fusidic
acid derivatives. Transmucosal administration can be accomplished through the use
of nasal sprays or suppositories. For transdermal administration, the active compounds
are formulated into ointments, salves, gels, or creams as generally known in the art.
[0216] The active compounds can be prepared with pharmaceutically acceptable carriers that
will protect the compound against rapid elimination from the body, such as a controlled
release formulation, including implants and microencapsulated delivery systems. Biodegradable,
biocompatible polymers can be used, such as ethylene vinyl acetate, polyanhydrides,
polyglycolic acid, collagen, polyorthoesters, and polylactic acid. Methods for preparation
of such formulations will be apparent to those skilled in the art. The materials can
also be obtained commercially from Alza Corporation and Nova Pharmaceuticals, Inc.
Liposomal suspensions (including liposomes targeted to infected cells with monoclonal
antibodies to viral antigens) can also be used as pharmaceutically acceptable carriers.
These can be prepared according to methods known to those skilled in the art, for
example, as described in
U.S. Pat. No. 4,522,811.
[0217] It is especially advantageous to formulate oral or parenteral compositions in dosage
unit form for ease of administration and uniformity of dosage. Dosage unit form as
used herein refers to physically discrete units suited as unitary dosages for the
subject to be treated; each unit containing a predetermined quantity of active compound
calculated to produce the desired therapeutic effect in association with the required
pharmaceutical carrier. The specification for the dosage unit forms of the invention
are dictated by and directly dependent on the unique characteristics of the active
compound and the particular therapeutic effect to be achieved.
[0218] In therapeutic applications, the dosages of the pharmaceutical compositions used
in accordance with the invention vary depending on the agent, the age, weight, and
clinical condition of the recipient patient, and the experience and judgment of the
clinician or practitioner administering the therapy, among other factors affecting
the selected dosage. Generally, the dose should be sufficient to result in slowing,
and preferably regressing, the growth of the tumors and also preferably causing complete
regression of the cancer. Dosages can range from about 0.01 mg/kg per day to about
5000 mg/kg per day. In preferred aspects, dosages can range from about 1 mg/kg per
day to about 1000 mg/kg per day. In an aspect, the dose will be in the range of about
0.1 mg/day to about 50 g/day; about 0.1 mg/day to about 25 g/day; about 0.1 mg/day
to about 10 g/day; about 0.1 mg to about 3 g/day; or about 0.1 mg to about 1 g/day,
in single, divided, or continuous doses (which dose may be adjusted for the patient's
weight in kg, body surface area in m
2, and age in years). An effective amount of a pharmaceutical agent is that which provides
an objectively identifiable improvement as noted by the clinician or other qualified
observer. For example, regression of a tumor in a patient may be measured with reference
to the diameter of a tumor. Decrease in the diameter of a tumor indicates regression.
Regression is also indicated by failure of tumors to reoccur after treatment has stopped.
As used herein, the term "dosage effective manner" refers to amount of an active compound
to produce the desired biological effect in a subject or cell.
[0219] The pharmaceutical compositions can be included in a container, pack, or dispenser
together with instructions for administration.
[0220] The compounds of the present invention are capable of further forming salts. All
of these forms are also contemplated within the scope of the claimed invention.
[0221] As used herein, "pharmaceutically acceptable salts" refer to derivatives of the compounds
of the present invention wherein the parent compound is modified by making acid or
base salts thereof. Examples of pharmaceutically acceptable salts include, but are
not limited to, mineral or organic acid salts of basic residues such as amines, alkali
or organic salts of acidic residues such as carboxylic acids, and the like. The pharmaceutically
acceptable salts include the conventional non-toxic salts or the quaternary ammonium
salts of the parent compound formed, for example, from non-toxic inorganic or organic
acids. For example, such conventional non-toxic salts include, but are not limited
to, those derived from inorganic and organic acids selected from 2-acetoxybenzoic,
2-hydroxyethane sulfonic, acetic, ascorbic, benzene sulfonic, benzoic, bicarbonic,
carbonic, citric, edetic, ethane disulfonic, 1,2-ethane sulfonic, fumaric, glucoheptonic,
gluconic, glutamic, glycolic, glycollyarsanilic, hexylresorcinic, hydrabamic, hydrobromic,
hydrochloric, hydroiodic, hydroxymaleic, hydroxynaphthoic, isethionic, lactic, lactobionic,
lauryl sulfonic, maleic, malic, mandelic, methane sulfonic, napsylic, nitric, oxalic,
pamoic, pantothenic, phenylacetic, phosphoric, polygalacturonic, propionic, salicyclic,
stearic, subacetic, succinic, sulfamic, sulfanilic, sulfuric, tannic, tartaric, toluene
sulfonic, and the commonly occurring amine acids,
e.g., glycine, alanine, phenylalanine, arginine, etc.
[0222] Other examples of pharmaceutically acceptable salts include hexanoic acid, cyclopentane
propionic acid, pyruvic acid, malonic acid, 3-(4-hydroxybenzoyl)benzoic acid, cinnamic
acid, 4-chlorobenzenesulfonic acid, 2-naphthalenesulfonic acid, 4-toluenesulfonic
acid, camphorsulfonic acid, 4-methylbicyclo-[2.2.2]-oct-2-ene-1-carboxylic acid, 3-phenylpropionic
acid, trimethylacetic acid, tertiary butylacetic acid, muconic acid, and the like.
The present invention also encompasses salts formed when an acidic proton present
in the parent compound either is replaced by a metal ion,
e.g., an alkali metal ion, an alkaline earth ion, or an aluminum ion; or coordinates with
an organic base such as ethanolamine, diethanolamine, triethanolamine, tromethamine,
N-methylglucamine, and the like.
[0223] It should be understood that all references to pharmaceutically acceptable salts
include solvent addition forms (solvates) or crystal forms (polymorphs) as defined
herein, of the same salt.
[0224] The compounds of the present invention can also be prepared as esters, for example,
pharmaceutically acceptable esters. For example, a carboxylic acid function group
in a compound can be converted to its corresponding ester,
e.g., a methyl, ethyl or other ester. Also, an alcohol group in a compound can be converted
to its corresponding ester,
e.g., an acetate, propionate or other ester.
[0225] The compounds of the present invention can also be prepared as prodrugs, for example,
pharmaceutically acceptable prodrugs. The terms "pro-drug" and "prodrug" are used
interchangeably herein and refer to any compound which releases an active parent drug
in vivo. Since prodrugs are known to enhance numerous desirable qualities of pharmaceuticals
(
e.g., solubility, bioavailability, manufacturing, etc.), the compounds of the present
invention can be delivered in prodrug form. "Prodrugs" are intended to include any
covalently bonded carriers that release an active parent drug of the present invention
in vivo when such prodrug is administered to a subject. Prodrugs are prepared by modifying
functional groups present in the compound in such a way that the modifications are
cleaved, either in routine manipulation or
in vivo, to the parent compound. Prodrugs include compounds of the present invention wherein
a hydroxy, amino, sulfhydryl, carboxy or carbonyl group is bonded to any group that
may be cleaved
in vivo to form a free hydroxyl, free amino, free sulfhydryl, free carboxy or free carbonyl
group, respectively.
[0226] Examples of prodrugs include, but are not limited to, esters (
e.g., acetate, dialkylaminoacetates, formates, phosphates, sulfates and benzoate derivatives)
and carbamates (
e.g., N,N-dimethylaminocarbonyl) of hydroxy functional groups, esters (
e.g., ethyl esters, morpholinoethanol esters) of carboxyl functional groups, N-acyl derivatives
(
e.g., N-acetyl) N-Mannich bases, Schiff bases and enaminones of amino functional groups,
oximes, acetals, ketals and enol esters of ketone and aldehyde functional groups in
compounds of the invention, and the like, See
Bundegaard, H., Design of Prodrugs, p1-92, Elesevier, New York-Oxford (1985).
[0227] The compounds, or pharmaceutically acceptable salts, esters or prodrugs thereof,
are administered orally, nasally, transdermally, pulmonary, inhalationally, buccally,
sublingually, intraperintoneally, subcutaneously, intramuscularly, intravenously,
rectally, intrapleurally, intrathecally and parenterally. In one embodiment, the compound
is administered orally. One skilled in the art will recognize the advantages of certain
routes of administration.
[0228] The dosage regimen utilizing the compounds is selected in accordance with a variety
of factors including type, species, age, weight, sex and medical condition of the
patient; the severity of the condition to be treated; the route of administration;
the renal and hepatic function of the patient; and the particular compound or salt
thereof employed. An ordinarily skilled physician or veterinarian can readily determine
and prescribe the effective amount of the drug required to prevent, counter or arrest
the progress of the condition.
[0229] Techniques for formulation and administration of the disclosed compounds of the invention
can be found in
Remington: the Science and Practice of Pharmacy, 19th edition, Mack Publishing Co.,
Easton, PA (1995). In an embodiment, the compounds described herein, and the pharmaceutically acceptable
salts thereof, are used in pharmaceutical preparations in combination with a pharmaceutically
acceptable carrier or diluent. Suitable pharmaceutically acceptable carriers include
inert solid fillers or diluents and sterile aqueous or organic solutions. The compounds
will be present in such pharmaceutical compositions in amounts sufficient to provide
the desired dosage amount in the range described herein.
[0230] All percentages and ratios used herein, unless otherwise indicated, are by weight.
Other features and advantages of the present invention are apparent from the different
examples. The provided examples illustrate different components and methodology useful
in practicing the present invention. The examples do not limit the claimed invention.
Based on the present disclosure the skilled artisan can identify and employ other
components and methodology useful for practicing the present invention.
5. Examples
Example 1: Preparation of (rac)-3-(5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(6-hydroxy-1H-indol-3-yl)pyrrolidine-2,5-dione (1) (reference example).
[0231]

Step 1: Preparation of 5, 6-dihydro-4H-pyrrolo [3,2,1-ij] quinolin-1-yl) oxoacetic acid methyl ester.
[0232]

[0233] To a solution of 5, 6-dihydro-4
H-pyrroloquinoline (15g, 95.5 mmol), in anhydrous tetrahydrofuran (225 mL) at 0°C was
added drop wise oxalyl chloride (9.15 mL) over 30 min. The mixture was stirred for
2hr at 0°C before being cooled to -78°C. Sodium methoxide (150 mL of 0.5M in methanol)
was added slowly and the mixture was allowed to warm to room temperature. The mixture
was diluted with ethyl acetate (600 mL), washed with water (100 mL) and saturated
aqueous sodium chloride (50 mL). The organic layer was dried over anhydrous sodium
sulfate and evaporated to dryness. The residue was purified by silica gel chromatography,
eluting with a ethyl acetate/hexanes (1:1) to afford 5, 6 -dihydro-4
H-pyrrolo [3,2,1-ij] quinolin-1-yl) oxoacetic acid methyl ester as a bright red solid
(21.9g, 94 %). Mp: 105-108°C;
1H NMR (CDC1
3) 400 MHz δ: 8.30 (s, 1H), 8.14(d,
J = 7.8 Hz, 1H), 7.26 (m, 2H), 7.06 (d,
J = 7.0 Hz, 1H), 4.22 (t,
J = 5.4 Hz, 2H), 3.94 (s, 3H), 3.0(t,
J = 6.2 Hz, 2H), 2.25 (t,
J = 5.9 Hz, 2H); LCMS [M+H]: 244.
Step 2: Preparation of 2-[6-(benzyloxy)-1H-indol-3-yl]acetamide.
[0234]

[0235] To a solution of 6-benzyloxyindole-acetic acid (4.72g, 16.7 mmol) in tetrahydrofuran
(100 mL), was added carbonyl diimidazole (2.85 g, 17.6 mmol). The resulting solution
was stirred at room temperature for 1.5hr. Ammonium hydroxide (14 mL) was added and
the reaction was allowed to stir at room temperature for 18h. The mixture was concentrated
to ½ volume and the resulting solid filtered and washed with cold methanol to give
2-[6-(benzyloxy)-1
H-indol-3-yl]acetamide (4.7g, quantitative) as a off-white solid. Mp: 189-192°C;
1H NMR (DMSO-
d6) 400 MHz δ: 10.65 (brs, 1H), 7.46 (d,
J = 7.4 Hz, 2H), 7.37-7.35 (m, 2H), 7.31 (m, 1H), 7.26 (brs, 1H), 7.14 (d,
J = 2.3 Hz, 1H), 7.12 (d,
J = 2.3 Hz, 1H), 6.79 (m, 2H), 5.04 (s, 2H), 3.39 (s, 2H); LCMS [M+H]: 281.
Step 3: Preparation of 3-[6-(benzyloxy)-1H-indol-3-yl]-4-(5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-l-yl)-1H-pyrrole-2,5-dione.
[0236]

[0237] To a solution of 5, 6-dihydro-4
H-pyrrolo [3,2,1-ij] quinolin-1-yl) oxoacetic acid methyl ester (1.04 g, 4.11 mmol)
and 2-[6-(benzyloxy)-1
H-indol-3-yl]acetamide (1g, 3.57 mmol) in anhydrous tetrahyrofuran at 0°C was added
a solution of potassium
tert-butoxide (8.46 mL, 1M in THF) dropwise over 10 min. The mixture was stirred at 0°C
for1.5 hours. Concentrated hydrochloric acid (7.9 mL) was added and the mixture stirred
for 1 hour at room temperature. The mixture was diluted with ethyl acetate (200 mL),
washed with water (2x50 mL), saturated aqueous sodium chloride solution (50 mL) and
the organic layer dried over anhydrous sodium sulfate. The residue was purified by
silica gel chromatography, eluting with a ethyl acetate/hexanes (10-60%) to afford
3-(5,6-dihydro-4H-pyrrolo [3,2,1-ij] quinolin-1-yl)-4(1H-indo-3-yl) pyrrole-2, 5-dione
as a purple solid (1.2 g, 80 %). Mp: 119-122°C;
1H NMR (CDC1
3) 400 MHz δ: 8.38 (brs, 1H), 7.72 (s, 1H), 7.51(d,
J = 2.3 Hz, 1H), 7.30-7.38 (m, 5H), 6.99 (d,
J = 8.9 Hz, 1H), 6.86(d,
J = 2.3 Hz, 1H), 6.82 (d,
J = 6.66 Hz, 1H), 6.85-6.70 (m, 2H), 6.58 (dd,
Ja= 8.9 Hz,
Jb = 2.3 Hz, 1H), 5.0 (s, 2H), 4.17 (t,
J = 5.4 Hz, 2H), 2.96 (t,
J = 5.8 Hz, 2H), 2.22(t,
J = 5.8 Hz, 2H); LCMS [M+H]: 474.
Step 4: Preparation of (rac)-trans-3-[6-(benzyloxy)-1H-indol-3-yl]-4-(5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione.
[0238]

[0239] To a solution of 3-(5,6-dihydro-4
H-pyrrolo [3,2,1-ij] quinolin-1-yl)-4(1
H-indo-3-yl) pyrrole-2, 5-dione (7.26g, 15.36 mmol) in anhydrous methanol (200 mL) was
added magnesium (7.3 g, 30.7 mmol). The solution was heated to 80°C for 4 hr. After
cooling to room temperature the methanol was removed under reduce pressure and the
mixture diluted with 10% HCl (50 mL) and extracted with dichloromethane (3 x 50 mL).
The combined organic layers were washed saturated aqueous sodium chloride solution
(50 mL) dried over anhydrous sodium sulfate, and evaporated to dryness. The residue
was purified by silica gel chromatography, eluting with a ethyl acetate/hexanes (10-60%)
to afford (
rac)-trans-3-[6-(benzyloxy)-1
H-indol-3-yl]-4-(5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-l-yl)pyrrolidine-2,5-dione as a off-white solid (575 mg,
8%). Mp: 145-148°C;
1H NMR (DMSO-
d6) 400 MHz δ: 8.70(brs, 1H), 8.0 (brs, 1H), 7.41-7.43 (m, 2H), 7.37 (t,
J = 7.0 Hz, 2H), 7.31(d,
J = 6.6 Hz, 1H), 6.94-6.97(m, 3H), 6.80-6.82 (m, 3H), 5.03 (s, 2H), 4.48 (d,
J = 5.8 Hz, 2H), 4.03 (s, 2H), 2.94 (s, 2H), 2.16 (s, 2H); LCMS [M+H]: 476.
Step 5: Preparation of (rac)-trans-3-(5,6-dihydro-4H-pyrrolo[3,2,1l-ij]quinolin-1-yl)-4-(6-hydroxy-1H-indol-3-yl)pyrrolidine-2,5-dione (1).
[0240]

[0241] The (
rac)-trans-3-[6-(benzyloxy)-1
H-indol-3-yl]-4-(5,6-dihydro-4
H-pyrrolo [3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione (500 mg, 1.05 mmol) and 10%
Pd/C (10 mg) were stirred under 1 atmosphere of hydrogen in methanol (200 mL) at room
temperature for 24 hours. The reaction mixture was filtered through a bed of Celite
and the filtrate evaporated to dryness. The residue was purified by silica gel chromatography,
eluting with 1-7% methanol in dichloromethane to afford to yield (
rac)-trans-3-(5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(6-hydroxy-1
H-indol-3-yl)pyrrolidine-2,5-dione (117 mg, 28%) as an off-white solid. Mp: 167-170°C;
1H NMR (DMSO-
d6) 400 MHz δ: 11.50 (bs, 1H), 10.62 (s, 1H), 7.32 (s, 1H), 7.13-7.17 (m, 3H), 6.83-6.89
(m, 2H), 6.71 (d,
J = 1.9Hz, 1H), 6.48-6.52 (m, 1H), 4.46 (d,
J = 6.6Hz, 1H), 4.37 (d,
J = 6.6Hz, 1H), 4.01 (s, 2H), 2.89 (s, 2H), 2.09 (s, 2H); LCMS [M+H]: 386.
Preparation of Compounds 4 and 5 through chiral separation of Compound 1.
[0242] Mixture of 1 (350 mg) was separated by reverse phase chiral HPLC (Chiralpak AD-H)
using IPA:Hexane (20:80) as the mobile phase to give 4 (138 mg) as a purple solid
(Retention Time = 7.85 minutes).
1H NMR (DMSO) 400 MHz δ: 11.50 (bs, 1H), 10.62 (s, 1H), 8.93 (s, 1H), 7.32 (s, 1H),
7.13-7.17 (m, 3H), 6.84-6.89 (m, 2H), 6.71 (d, 1H,
J = 1.9Hz), 6.51 (dd, 1H,
J = 1.9Hz, 2.3Hz), 4.46 (d, 1H,
J = 6.6Hz), 4.37 (d, 1H,
J = 6.6Hz), 4.08-4.10 (m, 2H), 2.88-2.91 (m, 2H), 2.08-2.11 (m, 2H). MS [M+H] 386; Mp:
170-172 °C; and 5 (157 mg) as a purple solid (Retention Time = 11.30 minutes).
1H NMR (DMSO) 400 MHz δ: 11.50 (bs, 1H), 10.62 (s, 1H), 8.9s (s, 1H), 7.32 (s, 1H),
7.13-7.17 (m, 3H), 6.84-6.89 (m, 2H), 6.71 (d, 1H,
J = 1.9Hz), 6.51 (dd, 1H,
J = 1.9Hz, 2.3Hz), 4.46 (d, 1H,
J = 6.6Hz), 4.37 (d, 1H,
J = 6.6Hz), 4.08-4.10 (m, 2H), 2.88-2.91 (m, 2H), 2.08-2.11 (m, 2H). MS [M+H] 386;
Mp: 173-175°C.
Example 2: Preparation of (2S,3S,4S,5R)-6-((3-((rac)-trans-4-(5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-2,5-dioxopyrrolidin-3-yl)-1H-indol-6-yl)oxy)-3,4,5-trihydroxy tetrahydro-2H-pyran-2-carboxylic acid (reference example).
[0243]

Step 1: Preparation of (3R,4S,5S,6S)-2-((3-((rac)-trans-4-(5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-2,5-dioxopyrrolidin-3-yl)-1H-indol-6-yl)oxy)-6-(methoxycarbonyl)tetrahydro-2H-pyran-3,4,5-triyl triacetate.
[0244]

[0245] To a stirred solution of (
rac)-
trans-3-(5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(6-hydroxy-1
H-indol-3-yl)pyrrolidine-2,5-dione (82 mg, 0.212 mmol) and 2, 3, 4-tri-O-acetyl-α-D-glucuronic
acid methyl ester trichlororacetimidate (112mg, 0.234mmol) in dry dichloromethane,
cooled to 0°C, was added BF
3:Et
2O (60uL, 0.53 mmol) in a dropwise manner. The reaction mixture was allowed to warm
to room temperature and after 1hr, it was poured onto a slurry of ice water (50mL).
The organic phase was separated, diluted with dichloromethane (3 x 10mL), washed with
brine and concentrated to give (3
R,4
S,5
S,6
S)-2-((3-((
rac)-
trans-4-(5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-1-yl)-2,5-dioxopyrrolidin-3-yl)-1
H-indol-6-yl)oxy)-6-(methoxycarbonyl)tetrahydro-2
H-pyran-3,4,5-triyl triacetate (51 mg, 34 %) that was used immediately in the next
step without purification.
Step 2: Preparation of (2S,3S,4S,5R)-6-((3-((rac)-trans-4-(5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-2,5-dioxopyrrolidin-3-yl)-1H-indol-6-yl)oxy)-3,4,5-trihydroxy tetrahydro-2H-pyran-2-carboxylic acid.
[0246]

[0247] To a stirred solution of (3
R,4
S,5
S,6
S)-2-((3-((
rac)-
trans-4-(5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-1-yl)-2,5-dioxopyrrolidin-3-yl)-1
H-indol-6-yl)oxy)-6-(methoxycarbonyl) tetrahydro-2
H-pyran-3,4,5-triyl triacetate (51mg, 0.07mmol) in tetrahydrofuran (1 mL) was added
1M NaOH (5 mL) dropwise at room temperature. The resulting solution was stirred for
1h and diluted with ethyl acetate (2 mL). The organic phase was separated and the
aqueous phase was acidified with 10% HCl to pH 6. The acidic solution was cooled to
-78°C and put on the lyophilizer overnight to give (2
S,3
S,4
S,5
R)-6-((3-((
rac)-
trans-4-(5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-1-yl)-2,5-dioxopyrrolidin-3-yl)-1
H-indol-6-yl)oxy)-3,4,5-trihydroxytetrahydro-2H-pyran-2-carboxylic acid (20mg, 50%)
as a flocculent white solid. Mp: 194-196°C;
1H NMR 400 MHz (DMSO-
d6) δ:11.53 (bs, 1H), 10.99 (bs, 1H), 7.34 (s, 1H), 7.26-7.29 (m, 2H), 7.17 (d,
J = 7.4Hz, 1H), 7.03 (s, 1H), 6.84-6.90 (m, 2H), 6.72-6.76 (m, 1H), 5.36 (brs, 1H),
5.15 (brs, 1H), 4.48 (d,
J = 6.6Hz, 1H), 4.44 (d,
J = 6.6Hz, 1H), 4.10 (s, 2H), 2.89 (s, 2H), 2.11 (s, 2H); LCMS [M+H]: 562.
Example 3: Chiral separation of enantiomers of (rac)-trans-3-[6-(benzyloxy)-1H-indol-3-yl]-4-(5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione to give 4 and 5 (reference example).
[0248] The mixture of (
rac)-trans-3-[6-(benzyloxy)-1
H-indol-3-yl]-4-(5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione (350 mg) was separated by reverse
phase chiral HPLC (Chiralpak AD-H) using isopropanol: hexanes (20:80) as the mobile
phase to give the first enantiomer (retention time = 7.85 minutes) (138 mg) as a purple
solid. Mp: 170-172 °C;
1H NMR (DMSO-
d6) 400 MHz δ: 11.50 (bs, 1H), 10.62 (s, 1H), 8.93 (s, 1H), 7.32 (s, 1H), 7.13-7.17
(m, 3H), 6.84-6.89 (m, 2H), 6.71 (d,
J = 1.9Hz, 1H), 6.51 (dd,
Ja = 2.3Hz,
Jb =1.9Hz, 1H), 4.46 (d,
J = 6.6Hz, 1H), 4.37 (d,
J = 6.6Hz, 1H), 4.08-4.10 (m, 2H), 2.88-2.91 (m, 2H), 2.08-2.11 (m, 2H); LCMS [M+H]:
386; and the second enantiomer (retention time = 11.30 minutes) (157mg) as a purple
solid. Mp: 173-175°C;
1H NMR (DMSO-
d6) 400 MHz δ: 11.50 (bs, 1H), 10.62 (s, 1H), 8.9s (s, 1H), 7.32 (s, 1H), 7.13-7.17
(m, 3H), 6.84-6.89 (m, 2H), 6.71 (d,
J = 1.9Hz, 1H), 6.51 (dd,
Ja= 2.3Hz,
Jb =1.9Hz, 1H), 4.46 (d,
J = 6.6Hz, 1H), 4.37 (d,
J = 6.6Hz, 1H), 4.08-4.10 (m, 2H), 2.88-2.91 (m, 2H), 2.08-2.11 (m, 2H); LCMS [M+H]:
386.
Example 4: Preparation of (rac)-trans-3-(6-hydroxy-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1H-indol-3-yl)pyrrolidine-2,5-dione (3).
[0249]

Step 1: Preparation of methyl (6-bromo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)(oxo)acetate.
[0250]

[0251] To a solution of 5, 6 -dihydro-4H-pyrrolo [3,2,1-ij] quinolin-1-yl) oxoacetic acid
methyl ester (2.86g, 11.7 mmol) in carbon tetrachloride (250 mL) was added N-bromosuccinimide
(3.13g, 17.55 mmol) and azobisisobutyronitrile (192 mg, 1.17 mmol). The reaction mixture
was placed into an oil bath pre-heated to 85°C. After 1.5hr the mixture was cooled
to room temperature and diluted with water (50 mL) and extracted with dichloromethane
(3 x 80 mL). The combined organic layers were washed saturated aqueous sodium chloride
solution (50 mL) dried over anhydrous sodium sulfate, and evaporated to dryness. The
residue was purified by silica gel chromatography, eluting with a ethyl acetate/hexanes
(10-60%) to afford methyl (6-bromo-5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-1-yl)(oxo)acetate as a yellow solid (1.12 g, 29%). Mp:
120-122°C;
1H NMR (CDC1
3) 400 MHz δ: 8.4 (s, 1H), 8.27 (d,
J =7.4 Hz, 1H), 7.29-7.31 (m, 2H), 5.62 (t,
J = 3.1 Hz, 1H), 4.56-4.59 (m, 1H), 4.41-4.43 (m, 1H), 3.96 (s, 3H), 2.66-2.68 (m, 2H);
LCMS [M+H]: 323.
Step 2: Preparation of methyl [6-(acetyloxy)-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl](oxo)acetate.
[0252]

[0253] To a solution of ethyl (6-bromo-5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-1-yl)(oxo)acetate (890 mg, 2.76 mmol) in dimethylformamidine
(20 mL) at 0°C was added silver acetate (458 mg, 2.76 mmol). The reaction mixture
was allowed to warm to room temperature and stirred for 2hr. The mixture was filtered
through Celite and rinsed with ethyl acetate (100 mL). The filtrated was diluted with
water (100 mL) and extracted with ethyl acetate (3 x 100 mL). The combined organic
layers were washed saturated aqueous sodium chloride solution (50 mL) dried over anhydrous
sodium sulfate, and evaporated to dryness. The residue was purified by silica gel
chromatography, eluting with a ethyl acetate/hexanes (10-60%) to methyl [6-(acetyloxy)-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl](oxo)acetate
as a yellow solid (326mg, 39%). Mp: 165-168°C;
1H NMR (CDCl
3) 400 MHz δ: 8.39 (s, 1H), 8.29 (d,
J = 7.4 Hz, 1H), 7.31-7.36 (m, 2H), 6.22 (t,
J = 3.5 Hz, 1H), 4.33-4.36 (m, 2H), 4.41-4.43 (m, 1H), 3.95 (s, 3H), 2.44-2.47 (m, 1H),
2.36-2.39(m, 1H); LCMS [M+H]: 302.
Step 3: Preparation of 3-(6-hydroxy-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1H-indol-3-yl)-1H-pyrrole-2,5-dione.
[0254]

[0255] To a solution of methyl [6-(acetyloxy)-5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-1-yl](oxo)acetate (632 mg, 2.09 mmol) and indole-3-acetamide
(328 mg, 1.88 mmol) in anhydrous tetrahyrofuran (25 mL) at 0°C was added a solution
of potassium
tert-butoxide (9.3 mL, 9.3mmol, 1M in THF) dropwise over 30 min. The mixture was stirred
at 0°C, allowed to warm to room temperature and stirred for 2h. Concentrated hydrochloric
acid (1 mL) was added and the mixture stirred for 1 hour at room temperature. The
mixture was diluted with water (25 mL), and extracted with ethyl acetate (2x25 mL).
The combined organic layers were washed with saturated aqueous sodium chloride solution
(50 mL) and dried over anhydrous sodium sulfate. The residue was purified by silica
gel chromatography, eluting with a methanol/dichloromethane (1-5%) to afford 3-(6-hydroxy-5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1
H-indol-3-yl)-1
H-pyrrole-2,5-dione as a bright red solid (293 mg, 36 %). Mp: 165-168°C;
1H NMR (DMSO-
d6) 400 MHz δ: 11.62 (brs, 1H), 10.89 (brs, 1H), 7.85 (s, 1H), 7.65 (s, 1H), 7.38 (d,
J = 8.2 Hz, 1H), 6.96-6.94 (m, 3H), 6.71 (t,
J = 7.4 Hz, 1H), 6.59 (d,
J = 7.4 Hz, 1H), 6.49(d,
J = 8.2 Hz, 1H), 5.41 (d,
J = 5.0 Hz, 1H), 4.89 (brs, 1H), 4.26 (s, 2H), 3.33 (s, 2H); LCMS [M+H]: 384.
Step 4: Preparation of (rac)-trans-3-(6-hydroxy-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1H-indol-3-yl)pyrrolidine-2,5-dione (3).
[0256]

[0257] To a solution of 3-(6-hydroxy-5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1
H-indol-3-yl)-1
H-pyrrole-2,5-dione (293 mg, 0.76 mmol) in anhydrous methanol (15 mL) in a 40 mL reaction
vial was added magnesium turnings (300 mg, 15.2 mmol). The mixture was capped and
heated at 80°C in an oil bath. After 4hr the reaction was cooled to room temperature
and the methanol removed under reduced pressure. The mixture was diluted with dichloromethane
(20 mL) and washed with 10% HCl (20 mL). The aqueous layer was extracted with dichloromethane
(3 x 20 mL), washed with brine, dried over sodium sulfate, and concentrated to dryness.
The residue was purified by silica gel chromatography, eluting with a methanol/dichloromethane
(1-5%) to afford (
rac)-trans-3-(6-hydroxy-5,6-dihydro-4
H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1
H-indol-3-yl)pyrrolidinc-2,5-dione as a off-white solid (42 mg, 14 %). Mp: 153-155°C;
1H NMR (DMSO-
d6) 400 MHz δ: 11.54 (bs, 1H), 11.04 (bs, 1H), 7.42-7.35 (m, 4H), 7.26 (d,
J = 7.8Hz, 1H), 7.04-7.08 (m, 2H), 6.98-6.93 (m, 2H), 5.34 (brs, 1H), 4.88 (brs, 1H),
4.55 (d,
J = 6.6Hz, 1H), 4.49 (d,
J = 6.6Hz, 1H), 4.13 (s, 2H), 2.10 (s, 2H); LCMS [M+H]: 386.
Example 5: Chiral separation of (3R,4R)-3-((S)-6-hydroxy-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1H-indol-3-yl)pyrrolidine-2,5-dione
(10) and (3R,4R)-3-((R)-6-hydroxy-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1H-indol-3-yl)pyrrolidine-2,5-dione
(11).
[0258]

[0259] The diastereomic mixture of 3 (9.1 g) was separated by normal-phase chiral HPLC (Chiralpak
AD-H, 4.6 x 250 mm) using n-hexane : ethanol (65:35, 1 mL/min) as the mobile phase
to give 10 (first enantiomer, retention time = 10.8 minutes) (1.6 g) as a purple solid,
11 (second enantiomer, retention time = 12.7 minutes) (1.7 mg) as a purple solid,
12 (third enantiomer, retention time = 17.2 minutes) (1.8 mg) as a purple solid, and
13 (fourth enantiomer, retention time = 23.8 minutes) (1.7 mg) as a purple solid.
Chiral HPLC chromatograms of each isolated stereoisomer are shown in Figure 1. Chemical
purities of 10, 11, 12 and 13 stereoisomers determined by HPLC were >98%, >98%, >95%
and >95%, respectively.
Example 6: Preparation of a mixture of (3R,4R)-3-(1H-indol-3-yl)-4-(6-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione
(14) and (3S,4S)-3-(1H-indol-3-yl)-4-(6-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione
(8).
[0260]

[0261] (3R,4R)-3-(6-hydroxy-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)-4-(1H-indol-3-yl)pyrrolidine-2,5-dione
3 (25 mg) was dissolved in dichloromethane. To this solution, 41 mg (1.5 equivalents)
of Dess-Martin reagent was added with stirring at room temperature, and the mixture
was then stirred for 15 minutes. The reaction solution was separated into aqueous
and organic layers by the addition of an aqueous dilute sodium bicarbonate solution,
and the aqueous layer was then subjected to extraction with dichloromethane. The combined
organic layer was washed with water, then dried over anhydrous magnesium sulfate,
and filtered, and the filtrate was then concentrated under reduced pressure. The obtained
residue (solid) was washed with ether to obtain 17 mg of 8 (yield: 70%).
Example 7: Chiral separation of (8) to give (3R,4R)-3-(1H-indol-3-yl)-4-(6-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione
(14) and (3S,4S)-3-(1H-indol-3-yl)-4-(6-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione
(15).
[0262]

[0263] The mixture 8 (900 mg) was separated by normal-phase chiral HPLC (Chiralpak IA, 4.6
x 250 mm) using n-hexane : tetrahydrofuran (40:60, 1 mL/min) as the mobile phase to
give 14 (first enantiomer, retention time = 4.4 minutes) (460 mg) as an orange-colored
solid, and 15 (second enantiomer, retention time = 6.0 minutes) (420 mg) as an orange-colored
solid. Chiral HPLC chromatograms of each isolated stereoisomer are shown in Figure
2. Chemical purities of the each isolated enantiomer determined by HPLC were >98%.
Example 8: Synthesis of mixture of (3R,4R)-3-(1H-indol-3-yl)-4-(4-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione
and (3S,4S)-3-(1H-indol-3-yl)-4-(4-oxo-5,6-dihydro-4H-pyrrolo[3,2,l-ij]quinolin-l-yl)pyrrolidine-2,5-dione
(9).
[0264]

Step 1: Synthesis of 2 (E)-methyl 3-(1H-indol-7-yl)acrylate.
[0265]

[0266] 7-Bromoindole (5.0 g, 25.5 mmol), methyl acrylate (4.6 ml, 51.1 mmol), triphenylphosphine
(0.55 g, 2.10 mmol), N,N-diisopropylethylamine (5.8 ml, 42.3 mmol), and palladium
(II) acetate (0.25 g, 1.11 mmol) were added to N,N-dimethylformamide (50 ml), and
the mixture was stirred at 70°C for 18 hours under a stream of nitrogen. After cooling
to room temperature, methyl acrylate (4.6 ml, 51.1 mmol), triphenylphosphine (0.55
g, 2.10 mmol), and palladium (II) acetate (0.25 g, 1.11 mmol) were added to the reaction
mixture, and the mixture was stirred at 75°C for 47 hours under a stream of nitrogen.
After cooling to room temperature, methyl acrylate (7.0 ml, 77.7 mmol), triphenylphosphine
(0.88 g, 3.36 mmol), and palladium (II) acetate (0.40 g, 1.78 mmol) were added to
the reaction mixture, and the mixture was stirred at 100°C for 95 hours under a stream
of nitrogen. After cooling to room temperature, the reaction mixture was concentrated
under reduced pressure. To the obtained residue, a hexane/ethyl acetate mixed solution
(1:1, 300 ml) was added, and the organic layer was washed with water. The obtained
aqueous layer was subjected to extraction with a hexane/ethyl acetate (1:1) mixed
solution, and the combined organic layer was washed with saturated saline. The obtained
organic layer was dried over anhydrous magnesium sulfate and then concentrated under
reduced pressure. The obtained residue was purified by silica gel chromatography (eluent;
hexane:ethyl acetate = 6:1) to obtain 2 (E)-methyl 3-(1H-indol-7-yl)acrylate (3.46
g, 67%) as a pale yellow-brown solid. ESI-MS: m/z 202 [M+H]
+.
1H-NMR (CDC1
3) δ: 3.85 (3H, s), 6.52 (1H, d,
J = 16.0 Hz), 6.62 (1H, dd,
J = 2.9, 2.0 Hz), 7.16 (1H, t,
J = 7.6 Hz), 7.28 (1H, t,
J = 2.9 Hz), 7.43 (1H, d,
J = 7.6 Hz), 7.71 (1H, d,
J = 7.6 Hz), 8.04 (1H, d,
J = 16.0 Hz), 8.59 (1H, br s).
Step 2: Synthesis of methyl 3-(3-(2-methoxy-2-oxoacetyl)-1H-indol-7-yl) propanoate.
[0267]

[0268] 2 (E)-Methyl 3-(1H-indol-7-yl) acrylate (1.0 g, 4.79 mmol) was dissolved in methanol
(100 ml). To this solution, 5% palladium carbon (water content: approximately 50%,
0.25 g) was then added, and the mixture was stirred at room temperature for 2 hours
under the hydrogen atmosphere (1 atmospheric pressure). The reaction mixture was filtered
to remove insoluble matter. Then, the filtrate was concentrated under reduced pressure.
The obtained residue was dissolved in tetrahydrofuran (20 ml). To this solution, oxalyl
chloride (1.1 ml, 13.0 mmol) was then added dropwise under ice cooling under a stream
of nitrogen. The obtained reaction mixture was stirred at room temperature for 1.5
hours and then concentrated under reduced pressure. The obtained residue was dissolved
in tetrahydrofuran (30 ml). To this solution, methanol (30 ml) was then added at room
temperature under a stream of nitrogen. The mixture was stirred overnight at room
temperature, and the reaction mixture was then concentrated under reduced pressure.
The obtained residue was purified by silica gel chromatography (eluent; dichloromethane:methanol
= 100:1). The obtained solid was washed with methanol to obtain methyl 3-(3-(2-methoxy-2-oxoacetyl)-1H-indol-7-yl)
propanoate (1.08 g, 75%) as a brown powder.
1H-NMR (CDCl3) δ: 2.78 (2H, t, J = 7.0 Hz), 3.20 (2H, t, J = 6.3 Hz), 3.67 (3H, s),
3.96 (3H, s), 7.11 (1H, d, J = 6.3 Hz), 7.25-7.31 (1H, m), 8.32 (1H, d, J = 8.2 Hz),
8.50 (1H, d, J = 3.1 Hz), 10.06 (1H, br s).
Step 3: Synthesis of methyl 3-(3-(4-(1H-indol-3-yl)-2,5-dioxo-2,5-dihydro-1H-pyrrol-3-yl)-1H-indol-7-yl)propanoate.
[0269]

[0270] Methyl 3-(3-(2-methoxy-2-oxoacetyl)-1H-indol-7-yl) propanoate (3.05 g, 10.5 mmol)
and indole-3-acetamide (1.9 g, 10.9 mmol) were dissolved in tetrahydrofuran (100 ml).
To this solution, a solution of potassium tert-butoxide in tetrahydrofuran (1 M, 55
ml, 55 mmol) was added dropwise under ice cooling under a stream of nitrogen. The
obtained reaction mixture was stirred at room temperature for 2 hours. Then, tetrahydrofuran
(50 ml) was added, and the mixture was further stirred for 1 hour, followed by addition
of tetrahydrofuran (50 ml). The obtained reaction mixture was stirred at room temperature
for 3 hours. Then, concentrated hydrochloric acid (90 ml) was added dropwise, and
the mixture was stirred overnight at room temperature. To the obtained reaction mixture,
dichloromethane was added, and the organic layer was washed with water. The obtained
aqueous layer was subjected to extraction with a dichloromethane/tetrahydrofuran (1:1)
mixed solution, and the combined organic layer was washed with saturated saline. The
obtained organic layer was dried over anhydrous magnesium sulfate and then concentrated
under reduced pressure. The obtained residue was dissolved in methanol (500 ml). To
this solution, sulfuric acid (1 ml) was then added dropwise, and the mixture was stirred
overnight at room temperature. The obtained reaction mixture was concentrated under
reduced pressure. To the residue, dichloromethane was then added, and the organic
layer was washed with a saturated aqueous solution of sodium bicarbonate. The obtained
aqueous layer was subjected to extraction with dichloromethane, and the combined organic
layer was washed with saturated saline. The obtained organic layer was dried over
anhydrous magnesium sulfate and then concentrated under reduced pressure. The obtained
residue was purified by silica gel chromatography (eluent; dichloromethane:methanol
= 50:1). If needed, further purification by silica gel chromatography (eluent; hexane:ethyl
acetate = 5:1 → 4:1) may be conducted to obtain methyl 3-(3-(4-(1H-indol-3-yl)-2,5-dioxo-2,5-dihydro-1H-pyrrol-3-yl)-1H-indol-7-yl)propanoate
(2.66 g, 61%) ESI-MS: m/z 414 [M+H]+.
1H-NMR (DMSO-D6) δ: 2.69 (2H, t, J = 7.8 Hz), 3.09 (2H, t, J = 7.8 Hz), 3.58 (3H, s),
6.56 (1H, t, J = 7.7 Hz), 6.61-6.69 (2H, m), 6.78-6.85 (2H, m), 6.98 (1H, tm, J =
7.7 Hz), 7.36 (1H, d, J = 7.7 Hz), 7.67-7.72 (2H, m), 10.90 (1H, s), 11.63 (1H, br
d, J = 2.7 Hz), 11.71 (1H, br d, J = 2.3 Hz).
[0271] Also obtained 4-chlorobutyl 3-(3-(4-(1H-indol-3-yl)-2,5-dioxo-2,5-dihydro-1H-pyrrol-3-yl)-1H-indol-7-yl)propanoate
(0.223 g, 4.5%) as blackish red-brown oils.ESI-MS: m/z 490, 492 [M+H]
+.
1H-NMR (DMSO-D
6) δ: 1.59-1.74 (4H, m), 2.69 (2H, t,
J = 7.6 Hz), 3.09 (2H, t,
J = 7.6 Hz), 3.60 (2H, t,
J = 6.3 Hz), 3.99-4.06 (2H, m), 6.56 (1H, dd,
J = 7.8, 7.0 Hz), 6.61-6.70 (2H, m), 6.81 (2H, t,
J = 7.8 Hz), 6.98 (1H, tm,
J = 7.8 Hz), 7.36 (1H, d,
J = 7.8 Hz), 7.68-7.72 (2H, m), 10.90 (1H, s), 11.64 (1H, br d,
J = 2.0 Hz), 11.71 (1H, br d,
J = 2.3 Hz).
Step 4: Synthesis of methyl 3-(3-((3R,4R)-4-(1H-indol-3-yl)-2,5-dioxopyrrolidin-3-yl)-1H-indol-7-yl)propanoate
and methyl 3-(3-((3S,4S)-4-(1H-indol-3-yl)-2,5-dioxopyrrolidin-3-yl)-1H-indol-7-yl)propanoate.
[0272]

[0273] Methyl 3-(3-(4-(1H-indol-3-yl)-2,5-dioxo-2,5-dihydro-1H-pyrrol-3-yl)-1H-indol-7-yl)propanoate
(2.61 g, 6.31 mmol) and Compound 5 (0.223 g, 0.476 mmol) were dissolved in methanol
(360 ml). To this solution, magnesium (3.3 g, 136 mmol) was added under a stream of
nitrogen, and the mixture was stirred at 70°C (outside temperature) for 30 minutes.
After cooling to room temperature, additional magnesium (3.3 g, 136 mmol) was added
to the reaction mixture, and the mixture was stirred at 70°C (outside temperature)
for 30 minutes under a stream of nitrogen. After cooling to room temperature, magnesium
(1.9 g, 78.2 mmol) was added to the reaction mixture, and the mixture was stirred
at 70°C (outside temperature) for 30 minutes under a stream of nitrogen. After cooling
to room temperature, magnesium (1.4 g, 57.6 mmol) was added to the reaction mixture,
and the mixture was stirred at 70°C (outside temperature) for 30 minutes under a stream
of nitrogen. After cooling to room temperature, the reaction mixture was poured into
a 2 N hydrochloric acid/dichloromethane mixture (500 ml:500 ml), and the mixture was
stirred at room temperature and then separated into aqueous and organic layers. The
aqueous layer was subjected to extraction with dichloromethane, and the combined organic
layer was further washed with saturated saline. The obtained organic layer was dried
over anhydrous magnesium sulfate and then concentrated under reduced pressure. The
obtained residue was purified by silica gel chromatography (eluent; hexane:ethyl acetate
= 1:1 → 1:2) to obtain mixture of methyl 3-(3-((3S,4S)-4-(1H-indol-3-yl)-2,5-dioxopyrrolidin-3-yl)-1H-indol-7-yl)propanoate
and methyl 3-(3-((3S,4S)-4-(1H-indol-3-yl)-2,5-dioxopyrrolidin-3-yl)-1H-indol-7-yl)propanoate
(2.06 g, 73%) as a light brown oil. ESI-MS: m/z 416 [M+H]+.
1H-NMR (DMSO-D6) δ: 2.69 (2H, t, J = 7.7 Hz), 3.08 (2H, t, J = 7.7 Hz), 3.59 (3H, s),
4.54 (2H, s), 6.86-7.00 (3H, m), 7.08 (1H, tm, J = 7.4 Hz), 7.25 (1H, dd, J = 6.8,
2.2 Hz), 7.33-7.43 (4H, m), 11.03 (1H, br d, J = 2.0 Hz), 11.10 (1H, br d, J = 2.0
Hz), 11.53 (1H, br s).
Step 5: Synthesis of mixture of (3R,4R)-3-(1H-indol-3-yl)-4-(4-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione
and (3S,4S)-3-(1H-indol-3-yl)-4-(4-oxo-5,6-dihydro-4H-pyrrolo[3,2,l-ij]quinolin-1-yl)pyrrolidine-2,5-dione
(9).
[0274]

[0275] Mixture of methyl 3-(3-((3S,4S)-4-(1H-indol-3-yl)-2,5-dioxopyrrolidin-3-yl)-1H-indol-7-yl)propanoate
and methyl 3-(3-((3S,4S)-4-(1H-indol-3-yl)-2,5-dioxopyrrolidin-3-yl)-1H-indol-7-yl)propanoate
(2.31 g, 5.56 mmol) was dissolved in N,N-dimethylformamide (107 ml). To this solution,
sodium hydride (approximately 63% oil, 0.54 g, 14.2 mmol) was further added under
ice cooling under a stream of nitrogen. The mixture was stirred at room temperature
for 2 hours, and the obtained reaction mixture was then cooled on ice. A hexane/ethyl
acetate mixed solution (1:1, 200 ml) was added, and a saturated aqueous solution of
ammonium chloride (300 ml) was subsequently added. To the obtained mixture, a hexane/ethyl
acetate mixed solution (1:1, 200 ml) was added, and the mixture was then separated
into aqueous and organic layers. The obtained organic layer was washed with water,
and the aqueous layer was subjected to extraction with a hexane/ethyl acetate (1:1)
mixed solution. The combined organic layer was washed with saturated saline, further
dried over anhydrous magnesium sulfate, and then concentrated under reduced pressure.
The obtained residue was solidified using dichloromethane and then washed with a dichloromethane/ether
(1:1) mixed solution to obtain a light brown solid. The obtained solid was dissolved
in a methanol/dichloromethane mixed solution, and this solution was then concentrated
under reduced pressure. The obtained residue was washed with methanol to obtain 9,
mixture of (3R,4R)-3-(1H-indol-3-yl)-4-(4-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione
and (3S,4S)-3-(1H-indol-3-yl)-4-(4-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione
(0.98 g, 46%) as a light brown powder. FAB-MS: m/z 384 [M+H]
+.
1H-NMR (DMSO-D
6) δ: 2.94 (2H, t,
J = 7.3 Hz), 3.21 (2H, t,
J = 7.3 Hz), 4.69 (1H, d,
J = 7.8 Hz), 4.72 (1H, d,
J = 7.8 Hz), 6.97 (1H, tm,
J = 7.5 Hz), 7.08 (1H, tm,
J = 7.5 Hz), 7.13-7.18 (2H, m), 7.32-7.39 (2H, m), 7.44 (1H, d,
J = 2.2 Hz), 7.47 (1H, d,
J = 8.2 Hz), 7.89 (1H, s), 11.06 (1H, br d,
J = 2.2 Hz), 11.61 (1H, br s).
Example 9: Chiral separation of mixture of (3R,4R)-3-(1H-indol-3-yl)-4-(4-oxo-5,6-dihydro-4H-pyrrolo[3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione
(16) and (3S,4S)-3-(1H-indol-3-yl)-4-(4-oxo-5,6-dihydro-4H-pyrrolo [3,2,1-ij]quinolin-1-yl)pyrrolidine-2,5-dione
(17).
[0276]

[0277] The racemic mixture 9 (900 mg) was separated by normal-phase chiral HPLC (Chiralpak
IC, 4.6 x 250 mm) using 100% acetonitrile (1 mL/min) as the mobile phase to give the
first enantiomer 16 (retention time = 4.9 minutes) (410 mg) as a white solid, and
the second enantiomer 17 (retention time = 5.8 minutes) (400 mg) as a white solid.
Chiral HPLC chromatograms of each isolated stereoisomer are shown in Figure 3. Chemical
purities of the each isolated enantiomer determined by HPLC were >98%.
Example 10
Example 11: Cell proliferation analysis.
[0279] Cell survival was determined by the MTS assay. Briefly, cells were plated in a 96-well
plate at 2,000-10,000 cells per well, cultured for 24 hours in complete growth medium,
and then treated with various drugs and drug combinations for 72 hours. MTS was added
and incubated for 4 hour, followed by assessment of cell viability using the microplate
reader at 570 nm. Data were normalized to untreated controls and analyzed. Table 2
shows the biological activity of the compounds of the invention.
Table 2:
| Compound |
Biochemical autophosphorylation assay1 IC50 (µM) |
Antiproliferative activity (HT29 MTS GI50 (µM)) |
| 8 |
1.6 ± 0.25 |
0.68 ± 0.05 |
| 9 |
1.0 |
3.1 ± 0.24 |
| 10 |
2.0 ± 0.21 |
1.5 ± 0.21 |
| 11 |
2.6 ± 0.07 |
3.7 ± 0.42 |
| 12 |
>30 |
31 ± 7.1 |
| 13 |
>30 |
75 ± 33 |